Kelly Vanvickle, in Staples, MN - Medicare Nurse Practitioner

Kelly Vanvickle, is a medicare enrolled "Nurse Practitioner - Women's Health" in Staples, Minnesota. Her current practice location is 49725 County 83, Staples, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 894-1515.

Kelly Vanvickle is licensed to practice in Minnesota (license number R147459-6) 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 1013332105.

Contact Information

	Kelly Vanvickle,
	49725 County 83, Staples, MN 56479-5280
	(218) 894-1515
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Vanvickle
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	49725 County 83, Staples, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013332105
Provider Enumeration Date: 02/26/2014
Last Update Date: 09/15/2021

Medicare PECOS Information:

PECOS PAC ID: 5597997783
Enrollment ID: I20140423000661

Medical Identifiers

Medical identifiers for Kelly Vanvickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013332105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	R147459-6 (Minnesota)	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. Kelly Vanvickle allows following entities to bill medicare on her behalf.

Entity Name	Lakewood Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411

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. Kelly Vanvickle 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
Kelly Vanvickle, Po Box 65, Crosslake, MN 56442-0065 Ph: () -	Kelly Vanvickle, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515

Reviews and Comments

Nurse Practitioner Nurses in Staples, MN

Chelsey Lee Olander, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Jessica A Nybakken, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Corey James Robinson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515
Amber Rasinski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Prairie Ave Ne, Staples, MN 56479 Phone: 218-894-1515
Lisa Mary Smeby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Alyssa Lea Manning, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767

Kelly Vanvickle, - Medicare Nurse Practitioner in Staples, MN