Donna D Van Dam, APN/CNM is a medicare enrolled "Advanced Practice Midwife" in Naperville, Illinois. Her current practice location is
720 Brom Ct, Suite 104, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 717-9977.
Donna D Van Dam is licensed to practice in Illinois (license number 309.000811) 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 1114291895.
Provider's Profile
| Full Name | Donna D Van Dam |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 720 Brom Ct, Naperville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114291895
- Provider Enumeration Date: 02/28/2012
- Last Update Date: 02/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032565403
- Enrollment ID: I20231023000769
Medical Identifiers
Medical identifiers for Donna D Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114291895 | NPI | - | NPPES |
| 21605044 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 309.000811 (Illinois) | 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. Donna D Van Dam allows following entities to bill medicare on her behalf.
| Entity Name | Naperville Womens Health Care, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063695237
PECOS PAC ID: 0042382194
Enrollment ID: O20080707000163 |
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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. Donna D Van Dam 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 |
|---|
Donna D Van Dam, APN/CNM
720 Brom Ct, Suite 104,
Naperville, IL 60540-6531
Ph: (630) 717-9977 | Donna D Van Dam, APN/CNM
720 Brom Ct, Suite 104,
Naperville, IL 60540-6531
Ph: (630) 717-9977 |
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