Jeffrey Vanderbilt, is a medicare enrolled "Nurse Practitioner" in White Pigeon, Michigan. His current practice location is
69011 Wildwood Dr, White Pigeon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 483-9991.
Jeffrey Vanderbilt is licensed to practice in Michigan (license number 4704211765) 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 1568542082.
Provider's Profile
Full Name | Jeffrey Vanderbilt |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 69011 Wildwood Dr, White Pigeon, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568542082
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 06/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 3375533318
- Enrollment ID: I20130110000407
Medical Identifiers
Medical identifiers for Jeffrey Vanderbilt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568542082 | NPI | - | NPPES |
1568542082 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704211765 (Michigan) | Primary |
207P00000X | Emergency Medicine | 4704211765 (Michigan) | Secondary |
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. Jeffrey Vanderbilt allows following entities to bill medicare on his behalf.
Entity Name | Doctors Care, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366499048 PECOS PAC ID: 6204731300 Enrollment ID: O20040112000069 |
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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. Jeffrey Vanderbilt 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 |
Jeffrey Vanderbilt, 69011 Wildwood Dr, White Pigeon, MI 49099-7727 Ph: (269) 483-9991 | Jeffrey Vanderbilt, 69011 Wildwood Dr, White Pigeon, MI 49099-7727 Ph: (269) 483-9991 |
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