Mr Edward Jim Vredenburgh Iii, RN in Saint Louis, MO

Mr Edward Jim Vredenburgh Iii, RN is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. His current practice location is 11133 Dunn Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 653-5000.

Mr Edward Jim Vredenburgh Iii is licensed to practice in Missouri (license number 2018037132) 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 1841741030.

Contact Information

	Mr Edward Jim Vredenburgh Iii, RN
	11133 Dunn Rd, Saint Louis, MO 63136-6163
	(314) 653-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Edward Jim Vredenburgh Iii
Gender	Male
Speciality	Nurse Practitioner - Family
Location	11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841741030
Provider Enumeration Date: 10/22/2016
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6305252982
Enrollment ID: I20210305000484

Medical Identifiers

Medical identifiers for Mr Edward Jim Vredenburgh Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841741030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2018037132 (Missouri)	Primary
163W00000X	Registered Nurse	2001004428 (Missouri)	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. Mr Edward Jim Vredenburgh Iii allows following entities to bill medicare on his behalf.

Entity Name	Jefferson City Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924

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. Mr Edward Jim Vredenburgh Iii 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
Mr Edward Jim Vredenburgh Iii, RN 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: (314) 653-5000	Mr Edward Jim Vredenburgh Iii, RN 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: (314) 653-5000

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Mr Edward Jim Vredenburgh Iii, RN - Medicare Nurse Practitioner in Saint Louis, MO