Dr Tara Nicole Vandewyngaerde, OD is a medicare enrolled "Optometrist" provider in Mendota, Illinois. Her current practice location is
700 14th Ave, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 539-6291.
Dr Tara Nicole Vandewyngaerde is licensed to practice in Illinois (license number PENDING) 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 1528264603.
Healthcare Provider's Profile
Full Name | Dr Tara Nicole Vandewyngaerde |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 700 14th Ave, Mendota, Illinois |
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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:
- Dr Tara Nicole Vandewyngaerde attended and graduated from in
NPI Data:
- NPI Number: 1528264603
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 01/15/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Tara Nicole Vandewyngaerde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528264603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | PENDING (Illinois) | Primary |
152W00000X | Optometrist | 46009989 (Illinois) | Secondary |
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. Dr Tara Nicole Vandewyngaerde 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 |
Dr Tara Nicole Vandewyngaerde, OD 807 Clark St, Oglesby, IL 61348-1177 Ph: (815) 228-7623 | Dr Tara Nicole Vandewyngaerde, OD 700 14th Ave, Mendota, IL 61342-1412 Ph: (815) 539-6291 |
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