Mr Richard Peter Vandendolder, OTR/L in Golden Valley, MN - Medicare Occupational Therapist Provider

Mr Richard Peter Vandendolder, OTR/L is a medicare enrolled "Occupational Therapist" provider in Golden Valley, Minnesota. His current practice location is 6701 Country Club Dr, Golden Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-5495.

Mr Richard Peter Vandendolder is licensed to practice in Minnesota (license number 101359) 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 1124375894.

Contact Information

	Mr Richard Peter Vandendolder, OTR/L
	6701 Country Club Dr, Golden Valley, MN 55427-4602
	(952) 993-5495
	(952) 993-2250

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Peter Vandendolder
Gender	Male
Speciality	Occupational Therapist
Location	6701 Country Club Dr, Golden Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124375894
Provider Enumeration Date: 08/12/2012
Last Update Date: 08/12/2012

Medicare PECOS Information:

PECOS PAC ID: 7416100722
Enrollment ID: I20130118000154

Medical Identifiers

Medical identifiers for Mr Richard Peter Vandendolder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124375894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	101359 (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. Mr Richard Peter Vandendolder allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 Richard Peter Vandendolder 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 Richard Peter Vandendolder, OTR/L 6701 Country Club Dr, Golden Valley, MN 55427-4602 Ph: (952) 993-5495	Mr Richard Peter Vandendolder, OTR/L 6701 Country Club Dr, Golden Valley, MN 55427-4602 Ph: (952) 993-5495

Reviews and Comments

Occupational Therapist in Golden Valley, MN

Monica L Mommsen, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-588-0811 Fax: 763-520-0355
Caryn Faith Erickson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Country Club Dr, Struthers Parkinsons Center, Golden Valley, MN 55427 Phone: 952-993-5495
Molly Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6900
Megan Anderson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902 Fax: 763-545-2016
Lee Ann Mae Mateffy, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 Phone: 763-520-0431 Fax: 763-520-0355
Dr. Stephanie Nga Frager, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902
Megan Metelak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7505 Country Club Dr, Golden Valley, MN 55427 Phone: 763-450-6902

Mr Richard Peter Vandendolder, OTR/L - Medicare Occupational Therapist in Golden Valley, MN