Robert Vanderwal, MS, LMHC in Mishawaka, IN - Medicare Counselor Provider

Robert Vanderwal, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Mishawaka, Indiana. His current practice location is 1818 Went Ave, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 254-0229.

Robert Vanderwal is licensed to practice in Indiana (license number 39002492A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265867204.

Contact Information

	Robert Vanderwal, MS, LMHC
	1818 Went Ave, Mishawaka, IN 46545
	(574) 254-0229
	(574) 254-0188

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Vanderwal
Gender	Male
Speciality	Counselor - Mental Health
Location	1818 Went Ave, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265867204
Provider Enumeration Date: 09/10/2013
Last Update Date: 07/31/2018

Medicare PECOS Information:

PECOS PAC ID: 3072950633
Enrollment ID: I20240319002966

Medical Identifiers

Medical identifiers for Robert Vanderwal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265867204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39002492A (Indiana)	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. Robert Vanderwal allows following entities to bill medicare on his behalf.

Entity Name	Meridian Health Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531

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. Robert Vanderwal 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
Robert Vanderwal, MS, LMHC 240 N Tillotson Ave, Muncie, IN 47304-3988 Ph: (765) 288-1928	Robert Vanderwal, MS, LMHC 1818 Went Ave, Mishawaka, IN 46545 Ph: (574) 254-0229

Reviews and Comments

Counselor in Mishawaka, IN

Krista Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lincolnway E, Mishawaka, IN 46544 Phone: 574-807-6009
Melissa Boyll, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Sandy Imanse, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-255-5669 Fax: 574-537-2652
Seth Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882
Carolyn Logue, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Dennis A Fehr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Rozi P Wax, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882

Robert Vanderwal, MS, LMHC - Medicare Counselor in Mishawaka, IN