Elizabeth A Vandergaag, ARNP in Longview, WA - Medicare Nurse Practitioner

Elizabeth A Vandergaag, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Longview, Washington. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baylor St Lukes Medical Group and her current practice location is 625 9th Avenue, Ste 210, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 501-3400.

Elizabeth A Vandergaag is licensed to practice in Texas (license number AP127186) 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 1174697296.

Contact Information

	Elizabeth A Vandergaag, ARNP
	625 9th Avenue, Ste 210, Longview, WA 98632-2465
	(360) 501-3400
	(360) 423-6862

Map and Direction

Provider's Profile

Full Name	Elizabeth A Vandergaag
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	625 9th Avenue, Longview, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth A Vandergaag graduated from nursing school in 2006

NPI Data:

NPI Number: 1174697296
Provider Enumeration Date: 11/20/2006
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4688674583
Enrollment ID: I20150126000155

Medical Identifiers

Medical identifiers for Elizabeth A Vandergaag such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174697296	NPI	-	NPPES
0229642	Other	WA	LABOR AND INDUSTRIES
9651027	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN00156835 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP30007439 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	AP127186 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's The Woodlands Hospital	The woodlands, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baylor St Lukes Medical Group	9133213192	163

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. Elizabeth A Vandergaag allows following entities to bill medicare on her behalf.

Entity Name	Kelsey-seybold Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204

Entity Name	Mhs Physicians Of Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184714867 PECOS PAC ID: 1557254968 Enrollment ID: O20040207000177

Entity Name	Baylor St Lukes Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972

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. Elizabeth A Vandergaag 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
Elizabeth A Vandergaag, ARNP 17198 St Lukes Way Ste 600, The Woodlands, TX 77384-8017 Ph: (936) 266-2450	Elizabeth A Vandergaag, ARNP 625 9th Avenue, Ste 210, Longview, WA 98632-2465 Ph: (360) 501-3400

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400
Donna K Lynds, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Mr. David Jude Paris, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086

Elizabeth A Vandergaag, ARNP - Medicare Nurse Practitioner in Longview, WA