Mollie Anne Vandam, FNP-C in Miamisburg, OH - Medicare Nurse Practitioner

Mollie Anne Vandam, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Miamisburg, Ohio. Her current practice location is 3333 W Tech Rd, Miamisburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-5725.

Mollie Anne Vandam is licensed to practice in Ohio (license number APRN.CNP.0029589) 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 1699433169.

Contact Information

	Mollie Anne Vandam, FNP-C
	3333 W Tech Rd, Miamisburg, OH 45342-0955
	(937) 641-5725
	(937) 350-3050

Map and Direction

Provider's Profile

Full Name	Mollie Anne Vandam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3333 W Tech Rd, Miamisburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699433169
Provider Enumeration Date: 12/02/2021
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6901297423
Enrollment ID: I20211216002653

Medical Identifiers

Medical identifiers for Mollie Anne Vandam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699433169	NPI	-	NPPES
0469873	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.410996 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0029589 (Ohio)	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. Mollie Anne Vandam allows following entities to bill medicare on her behalf.

Entity Name	Dayton Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416

Entity Name	Dayton Childrens Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690

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. Mollie Anne Vandam 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
Mollie Anne Vandam, FNP-C Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072	Mollie Anne Vandam, FNP-C 3333 W Tech Rd, Miamisburg, OH 45342-0955 Ph: (937) 641-5725

Reviews and Comments

Nurse Practitioner Nurses in Miamisburg, OH

Mallory Michelle Michna, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2960 Ferndown Dr, Miamisburg, OH 45342 Phone: 937-886-5510 Fax: 937-813-2637
Holli N Kroger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-3000
Heather Anne Duehren, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549
Sandra L Kimball, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494
Mr. Seth T Kidwell, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-6492
Sarah E Jacobs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549
Kristine A Scordo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Miamisburg Centerville Rd, Suite 100, Miamisburg, OH 45342 Phone: 937-643-9939 Fax: 937-643-9949

Mollie Anne Vandam, FNP-C - Medicare Nurse Practitioner in Miamisburg, OH