Charles Jay Vandenberg Iv, DO - Medicare Internal Medicine in Manistee, MI

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Charles Jay Vandenberg Iv, DO is a medicare enrolled "Internal Medicine" physician in Manistee, Michigan. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Munson Healthcare Manistee Hospital and his current practice location is 1293 E Parkdale Ave, Manistee, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 398-1840.

Charles Jay Vandenberg Iv is licensed to practice in Michigan (license number 5101021764) 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 1750638516.

Contact Information

Charles Jay Vandenberg Iv, DO
1293 E Parkdale Ave,
Manistee, MI 49660-8904
(231) 398-1840
Not Available

Map and Direction




Physician's Profile

Full NameCharles Jay Vandenberg Iv
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location1293 E Parkdale Ave, Manistee, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Jay Vandenberg Iv attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2012
  NPI Data:
  • NPI Number: 1750638516
  • Provider Enumeration Date: 08/12/2012
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305155029
  • Enrollment ID: I20151020003017

Medical Identifiers

Medical identifiers for Charles Jay Vandenberg Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750638516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2012020880 (Missouri)Secondary
207R00000XInternal Medicine 5101021764 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Home CareHart, MIHome health agency
Munson Home CareTraverse city, MIHome health agency
Munson Healthcare Manistee HospitalManistee, MIHospital
Spectrum Health Ludington HospitalLudington, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Healthcare Manistee Hospital307241433320

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. Charles Jay Vandenberg Iv allows following entities to bill medicare on his behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameMunson Healthcare Manistee Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649457771
PECOS PAC ID: 3072414333
Enrollment ID: O20040119000647

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. Charles Jay Vandenberg Iv 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 AddressPractice Location Address
Charles Jay Vandenberg Iv, DO
1391 E Parkdale Ave,
Manistee, MI 49660-9352

Ph: (231) 398-1760		Charles Jay Vandenberg Iv, DO
1293 E Parkdale Ave,
Manistee, MI 49660-8904

Ph: (231) 398-1840

Reviews and Comments


Internal Medicine Doctors in Manistee, MI

Ryan A Sullivan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2198 Us Highway 31 S, Manistee, MI 49660
Phone: 231-723-3567    
Dr. Raymond Edward Schmoke, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1806 East Parkdale Avenue, Manistee, MI 49660
Phone: 231-723-3567    Fax: 231-723-1767

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.