Kelly Vanwyck, in Randolph, NJ - Medicare Nurse Practitioner

Kelly Vanwyck, is a medicare enrolled "Nurse Practitioner - Family" in Randolph, New Jersey. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vanguard Medical Group Pa and her current practice location is 477 Route 10 Ste 205, Randolph, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 560-9500.

Kelly Vanwyck is licensed to practice in New Jersey (license number 26NJ00792600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104334655.

Contact Information

	Kelly Vanwyck,
	477 Route 10 Ste 205, Randolph, NJ 07869-2144
	(973) 560-9500
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Vanwyck
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	477 Route 10 Ste 205, Randolph, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Vanwyck graduated from nursing school in 2017

NPI Data:

NPI Number: 1104334655
Provider Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018

Medicare PECOS Information:

PECOS PAC ID: 8921368879
Enrollment ID: I20180214000934

Medical Identifiers

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

Identifier	Type	State	Issuer
1104334655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ00792600 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanguard Medical Group Pa	5092751842	56

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 Vanwyck allows following entities to bill medicare on her behalf.

Entity Name	Vanguard Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073674412 PECOS PAC ID: 5092751842 Enrollment ID: O20050701000022

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 Vanwyck 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 Vanwyck, 700 Route 46 E Ste 450, Fairfield, NJ 07004-1583 Ph: (973) 559-3700	Kelly Vanwyck, 477 Route 10 Ste 205, Randolph, NJ 07869-2144 Ph: (973) 560-9500

Reviews and Comments

Nurse Practitioner Nurses in Randolph, NJ

Lindsay Elizabeth Kellogg, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Suite 201, Randolph, NJ 07869 Phone: 973-989-0068
Laura Rina Cecchetto, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Berry Ln, Randolph, NJ 07869 Phone: 631-806-0267
Ms. Annette K Allegra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 447 Route 10 E Ste 2, Randolph, NJ 07869 Phone: 862-781-0082
Heather Hogh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E Ste 201, Randolph, NJ 07869 Phone: 973-989-0068 Fax: 973-361-8955
Kaitlyn Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Ste 201, Randolph, NJ 07869 Phone: 973-479-1128
Barbara Baggstrom, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Route 10 E, Ste 203, Randolph, NJ 07869 Phone: 973-659-9991 Fax: 973-659-9632

Kelly Vanwyck, - Medicare Nurse Practitioner in Randolph, NJ