Teal Metta Vandamme, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Silvis, Illinois. Her current practice location is
1455 Hospital Rd, Silvis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 865-7130.
Teal Metta Vandamme is licensed to practice in Illinois (license number 146011483) 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 1235414269.
Healthcare Provider's Profile
Full Name | Teal Metta Vandamme |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1455 Hospital Rd, Silvis, Illinois |
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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: 1235414269
- Provider Enumeration Date: 10/21/2011
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991156267
- Enrollment ID: I20240111000386
Medical Identifiers
Medical identifiers for Teal Metta Vandamme such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235414269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | 002037 (Iowa) | Secondary |
235Z00000X | Speech-language Pathologist | 146011483 (Illinois) | 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. Teal Metta Vandamme allows following entities to bill medicare on her behalf.
Provider Name | Blue Stone Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
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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. Teal Metta Vandamme 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 |
Teal Metta Vandamme, MA, CCC-SLP 5671 Idaho Dr, Bettendorf, IA 52722-0043 Ph: () - | Teal Metta Vandamme, MA, CCC-SLP 1455 Hospital Rd, Silvis, IL 61282-1834 Ph: (309) 865-7130 |
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