Eric Jacob Hendrik Van Der Lelij, - Medicare Nurse Practitioner in Tucson, AZ

Eric Jacob Hendrik Van Der Lelij, is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Greater Phoenix Collaborative Care Pc and his current practice location is 1669 W Ina Rd Ste 101, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 795-6183.

Eric Jacob Hendrik Van Der Lelij is licensed to practice in Arizona (license number AP9944) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265972715.

Contact Information

Eric Jacob Hendrik Van Der Lelij,
1669 W Ina Rd Ste 101,
Tucson, AZ 85704-1976
(520) 795-6183
Not Available

Map and Direction




Provider's Profile

Full NameEric Jacob Hendrik Van Der Lelij
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location1669 W Ina Rd Ste 101, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eric Jacob Hendrik Van Der Lelij graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1265972715
  • Provider Enumeration Date: 03/02/2017
  • Last Update Date: 12/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193095206
  • Enrollment ID: I20170724000676

Medical Identifiers

Medical identifiers for Eric Jacob Hendrik Van Der Lelij such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265972715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP9944 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greater Phoenix Collaborative Care Pc094150330491

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. Eric Jacob Hendrik Van Der Lelij allows following entities to bill medicare on his behalf.
Entity NameGreater Phoenix Collaborative Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750686614
PECOS PAC ID: 0941503304
Enrollment ID: O20160120000300

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. Eric Jacob Hendrik Van Der Lelij 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 AddressPractice Location Address
Eric Jacob Hendrik Van Der Lelij,
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (520) 795-6183
Eric Jacob Hendrik Van Der Lelij,
1669 W Ina Rd Ste 101,
Tucson, AZ 85704-1976

Ph: (520) 795-6183

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.