Dr Jon Jay Vandoren, PH D is a medicare enrolled "Clinical Neuropsychologist" provider in Scottsdale, Arizona. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
10613 N Hayden Rd Ste J108, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 699-6968.
Dr Jon Jay Vandoren is licensed to practice in Arizona (license number 2081) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114072220.
Healthcare Provider's Profile
| Full Name | Dr Jon Jay Vandoren |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 33 Years |
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| Location | 10613 N Hayden Rd Ste J108, Scottsdale, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jon Jay Vandoren graduated from medical school in 1992
NPI Data:
- NPI Number: 1114072220
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042208910
- Enrollment ID: I20040501000188
Medical Identifiers
Medical identifiers for Dr Jon Jay Vandoren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114072220 | NPI | - | NPPES |
| Z60229 | Other | AZ | MEDICARE GROUP PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2081 (Arizona) | Secondary |
| 103TF0200X | Psychologist - Forensic | 2081 (Arizona) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 2081 (Arizona) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 2081 (Arizona) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2081 (Arizona) | Primary |
| 103T00000X | Psychologist | 2081 (Arizona) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 2081 (Arizona) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2081 (Arizona) | 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. Dr Jon Jay Vandoren allows following entities to bill medicare on his behalf.
| Entity Name | Jon Van Doren Phd Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124211826
PECOS PAC ID: 4183981913
Enrollment ID: O20171201002204 |
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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 Jon Jay Vandoren 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 Jon Jay Vandoren, PH D
10613 N Hayden Rd Ste J108,
Scottsdale, AZ 85260-5576
Ph: (480) 699-6968 | Dr Jon Jay Vandoren, PH D
10613 N Hayden Rd Ste J108,
Scottsdale, AZ 85260-5576
Ph: (480) 699-6968 |
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