Madeline Vander Sloot, is a medicare enrolled "Dietitian, Registered" provider in Sparta, Tennessee. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Summit Medical Group, Pllc and her current practice location is
849 Charles Golden Rd, Sparta, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(231) 679-6880.
Madeline Vander Sloot is licensed to practice in Tennessee (license number LDN0000004230) 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 1508614496.
Healthcare Provider's Profile
| Full Name | Madeline Vander Sloot |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 5 Years |
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| Location | 849 Charles Golden Rd, Sparta, Tennessee |
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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. |
Medical Education and Training:
- Madeline Vander Sloot graduated from medical school in 2021
NPI Data:
- NPI Number: 1508614496
- Provider Enumeration Date: 05/07/2024
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789112061
- Enrollment ID: I20250114003782
Medical Identifiers
Medical identifiers for Madeline Vander Sloot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508614496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | LDN0000004230 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Summit Medical Group, Pllc | 2860396330 | 636 |
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. Madeline Vander Sloot allows following entities to bill medicare on her behalf.
| Provider Name | Summit Medical Group, PLLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
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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. Madeline Vander Sloot 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 |
Madeline Vander Sloot, 849 Charles Golden Rd, Sparta, TN 38583-3258 Ph: (231) 679-6880 | Madeline Vander Sloot, 849 Charles Golden Rd, Sparta, TN 38583-3258 Ph: (231) 679-6880 |
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