Alicia Anne Vandewalle, APRN is a medicare enrolled "Nurse Practitioner - Family" in Randolph, Nebraska. She went to Univ Of Nebraska Medical Center, Col Of Dentistry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osmond General Hospital Inc and her current practice location is
106 E Wayne St, Randolph, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 337-0200.
Alicia Anne Vandewalle is licensed to practice in Nebraska (license number 112022) 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 1104276948.
Provider's Profile
| Full Name | Alicia Anne Vandewalle |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 106 E Wayne St, Randolph, Nebraska |
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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. |
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Medical Education and Training:
- Alicia Anne Vandewalle attended and graduated from Univ Of Nebraska Medical Center, Col Of Dentistry in 2016
NPI Data:
- NPI Number: 1104276948
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658663406
- Enrollment ID: I20160714001396
Medical Identifiers
Medical identifiers for Alicia Anne Vandewalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104276948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 112022 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Osmond General Hospital Inc | 4183689227 | 3 |
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. Alicia Anne Vandewalle allows following entities to bill medicare on her behalf.
| Entity Name | Osmond General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700979614
PECOS PAC ID: 4183689227
Enrollment ID: O20041130000809 |
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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. Alicia Anne Vandewalle 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 |
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Alicia Anne Vandewalle, APRN
Po Box 429, 402 N Maple,
Osmond, NE 68765-0429
Ph: (402) 748-3393 | Alicia Anne Vandewalle, APRN
106 E Wayne St,
Randolph, NE 68771-5300
Ph: (402) 337-0200 |
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