Kandise J Vandyne Pmhnp, in Artesia, NM - Medicare Nurse Practitioner

Kandise J Vandyne Pmhnp, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Artesia, New Mexico. Her current practice location is 1105 Memorial Dr, Artesia, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 746-9848.

Kandise J Vandyne Pmhnp is licensed to practice in New Mexico (license number 77982) 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 1104655893.

Contact Information

	Kandise J Vandyne Pmhnp,
	1105 Memorial Dr, Artesia, NM 88210-1189
	(575) 746-9848
	Not Available

Map and Direction

Provider's Profile

Full Name	Kandise J Vandyne Pmhnp
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1105 Memorial Dr, Artesia, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104655893
Provider Enumeration Date: 07/30/2024
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8729529896
Enrollment ID: I20240917004024

Medical Identifiers

Medical identifiers for Kandise J Vandyne Pmhnp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104655893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	77982 (New Mexico)	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. Kandise J Vandyne Pmhnp allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Kandise J Vandyne Pmhnp 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
Kandise J Vandyne Pmhnp, 1105 Memorial Dr, Artesia, NM 88210-1189 Ph: (970) 623-3542	Kandise J Vandyne Pmhnp, 1105 Memorial Dr, Artesia, NM 88210-1189 Ph: (575) 746-9848

Reviews and Comments

Nurse Practitioner Nurses in Artesia, NM

Julie Phelps, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 N 13th St Ste 100, Artesia, NM 88210 Phone: 575-748-8301 Fax: 575-748-8304
Mr. Allen Dewayne Ayers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1105 Memorial Dr, Artesia, NM 88210 Phone: 575-746-9848
Mrs. Aiiesa Gabriela Estrada, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1702 W Gilchrist Ave, Artesia, NM 88210 Phone: 575-513-7696
Mr. Robert Le Alan Shaffer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Memorial Dr, Artesia, NM 88210 Phone: 575-746-9848 Fax: 575-746-2215
Susan Irene Caley, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 N 13th St, Artesia, NM 88210 Phone: 575-746-3119 Fax: 575-746-4295
Stephanie L Blackwood, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 W Richardson Ave, Artesia, NM 88210 Phone: 575-361-0529 Fax: 575-736-6311

Kandise J Vandyne Pmhnp, - Medicare Nurse Practitioner in Artesia, NM