Angela M Vanderberg, APN in Mishawaka, IN - Medicare Nurse Practitioner

Angela M Vanderberg, APN is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. Her current practice location is 215 W 4th St, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 325-5961.

Angela M Vanderberg is licensed to practice in Indiana (license number 71003513) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093019994.

Contact Information

	Angela M Vanderberg, APN
	215 W 4th St, Mishawaka, IN 46544-1917
	(574) 325-5961
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela M Vanderberg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	215 W 4th St, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093019994
Provider Enumeration Date: 01/06/2011
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0547441917
Enrollment ID: I20110218000567

Medical Identifiers

Medical identifiers for Angela M Vanderberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093019994	NPI	-	NPPES
IN2007010	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003513 (Indiana)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71003513 (Indiana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela M Vanderberg allows following entities to bill medicare on her behalf.

Entity Name	Dr Erin Vicari Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770935355 PECOS PAC ID: 2769776038 Enrollment ID: O20160809002131

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela M Vanderberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela M Vanderberg, APN 3217 W 121st Ave, Crown Point, IN 46307-8745 Ph: (219) 614-9528	Angela M Vanderberg, APN 215 W 4th St, Mishawaka, IN 46544-1917 Ph: (574) 325-5961

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Angela M Vanderberg, APN - Medicare Nurse Practitioner in Mishawaka, IN