Candice Lou Vanderplaats, RN CNP is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Minnesota. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Health Care Inc, Avera Tyler and her current practice location is
240 Willow Street, Tyler, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 247-5921.
Candice Lou Vanderplaats is licensed to practice in Minnesota (license number R172256-5) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104178946.
Provider's Profile
| Full Name | Candice Lou Vanderplaats |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 240 Willow Street, Tyler, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Candice Lou Vanderplaats graduated from nursing school in 2012
NPI Data:
- NPI Number: 1104178946
- Provider Enumeration Date: 10/03/2012
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 7416100334
- Enrollment ID: I20121231000044
Medical Identifiers
Medical identifiers for Candice Lou Vanderplaats such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104178946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R172256-5 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rural Health Care Inc | 3476447541 | 133 |
| Avera Tyler | 9638088537 | 15 |
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. Candice Lou Vanderplaats allows following entities to bill medicare on her behalf.
| Entity Name | Avera Marshall |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20031106000219 |
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| Entity Name | Rural Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215317375
PECOS PAC ID: 3476447541
Enrollment ID: O20150710000034 |
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| Entity Name | Avera Tyler |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801840517
PECOS PAC ID: 9638088537
Enrollment ID: O20170630001868 |
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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. Candice Lou Vanderplaats 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 |
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Candice Lou Vanderplaats, RN CNP
240 Willow Street,
Tyler, MN 56178
Ph: (507) 247-5921 | Candice Lou Vanderplaats, RN CNP
240 Willow Street,
Tyler, MN 56178
Ph: (507) 247-5921 |
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