Erika Vandenberg, is a medicare enrolled "Speech-language Pathologist" provider in Little Chute, Wisconsin. Her current practice location is
1530 Freedom Rd, Little Chute, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 850-8814.
Erika Vandenberg is licensed to practice in Wisconsin (license number 4159-154) 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 1205210499.
Healthcare Provider's Profile
Full Name | Erika Vandenberg |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1530 Freedom Rd, Little Chute, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205210499
- Provider Enumeration Date: 07/17/2015
- Last Update Date: 01/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 5193011088
- Enrollment ID: I20160831002860
Medical Identifiers
Medical identifiers for Erika Vandenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205210499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4159-154 (Wisconsin) | 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. Erika Vandenberg allows following entities to bill medicare on her behalf.
Provider Name | Fox Rehabilitation Services Wi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
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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. Erika Vandenberg 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 |
Erika Vandenberg, 1530 Freedom Rd, Little Chute, WI 54140-1315 Ph: () - | Erika Vandenberg, 1530 Freedom Rd, Little Chute, WI 54140-1315 Ph: (920) 850-8814 |
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