Eric John Vargas Vanderlee, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vermillion, South Dakota. His current practice location is
20 S Plum St, Vermillion, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 677-3700.
Eric John Vargas Vanderlee is licensed to practice in South Dakota (license number CR001166) 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 1811689250.
Provider's Profile
| Full Name | Eric John Vargas Vanderlee |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 20 S Plum St, Vermillion, South Dakota |
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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: 1811689250
- Provider Enumeration Date: 05/24/2023
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840652582
- Enrollment ID: I20230814000634
Medical Identifiers
Medical identifiers for Eric John Vargas Vanderlee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811689250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | D174305 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CR001166 (South Dakota) | 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. Eric John Vargas Vanderlee allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497854574
PECOS PAC ID: 6103716626
Enrollment ID: O20040318000486 |
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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. Eric John Vargas Vanderlee 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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Eric John Vargas Vanderlee,
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Eric John Vargas Vanderlee,
20 S Plum St,
Vermillion, SD 57069-3346
Ph: (605) 677-3700 |
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