Benjamin Vandersommen, FNP in Casa Grande, AZ

Benjamin Vandersommen, FNP is a medicare enrolled "Nurse Practitioner - Family" in Casa Grande, Arizona. His current practice location is 560 N Camino Mercado Ste 7, Casa Grande, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 836-5538.

Benjamin Vandersommen is licensed to practice in Arizona (license number 298887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376315598.

Contact Information

	Benjamin Vandersommen, FNP
	560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759
	(520) 836-5538
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Vandersommen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	560 N Camino Mercado Ste 7, Casa Grande, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376315598
Provider Enumeration Date: 10/23/2023
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6507218625
Enrollment ID: I20240113000842

Medical Identifiers

Medical identifiers for Benjamin Vandersommen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376315598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	298887 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	298887 (Arizona)	Primary

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. Benjamin Vandersommen allows following entities to bill medicare on his behalf.

Entity Name	Prescott Healthcare Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795

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. Benjamin Vandersommen 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
Benjamin Vandersommen, FNP 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 Ph: (520) 836-5538	Benjamin Vandersommen, FNP 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 Ph: (520) 836-5538

Reviews and Comments

Nurse Practitioner Nurses in Casa Grande, AZ

Mrs. Tiffany Nicole Valdez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-6530
Mrs. Krista Marie Nielsen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 Phone: 520-316-0688
Essie Harrell, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122 Phone: 520-836-3446 Fax: 520-836-8807
Rachael Tobie, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 W Rodeo Rd, Casa Grande, AZ 85122 Phone: 520-836-1772
Kristin Marie Grammatico, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-381-6150
Mrs. Carolyn Beth Schooley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122 Phone: 520-836-5538 Fax: 844-772-0049
Jennifer Ann Nies, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1653 E Mcmurray Blvd Ste 132, Casa Grande, AZ 85122 Phone: 520-876-0478

Benjamin Vandersommen, FNP - Medicare Nurse Practitioner in Casa Grande, AZ