Carolyn Jill Vandiver, MD in Desoto, TX - Medicare Diagnostic Radiology

Carolyn Jill Vandiver, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Desoto, Texas. She went to Michigan State University College Of Human Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Methodist-cdi, Radiology Associates Of North Texas Pa and her current practice location is 1750 North Hampton Road, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 946-4397.

Carolyn Jill Vandiver is licensed to practice in Texas (license number K8548) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790733475.

Contact Information

	Carolyn Jill Vandiver, MD
	1750 North Hampton Road, Desoto, TX 75115-2306
	(214) 946-4397
	(214) 946-4399

Map and Direction

Physician's Profile

Full Name	Carolyn Jill Vandiver
Gender	Female
Speciality	Diagnostic Radiology
Experience	32 Years
Location	1750 North Hampton Road, Desoto, Texas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carolyn Jill Vandiver attended and graduated from Michigan State University College Of Human Medicine in 1993

NPI Data:

NPI Number: 1790733475
Provider Enumeration Date: 05/04/2006
Last Update Date: 03/11/2013

Medicare PECOS Information:

PECOS PAC ID: 7911963988
Enrollment ID: I20041202000245

Medical Identifiers

Medical identifiers for Carolyn Jill Vandiver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790733475	NPI	-	NPPES
104934803	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	K8548 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist-cdi	3072836600	42
Radiology Associates Of North Texas Pa	7911897301	325

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. Carolyn Jill Vandiver allows following entities to bill medicare on her behalf.

Entity Name	Radiology Associates Of North Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531

Entity Name	Methodist-cdi
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164829214 PECOS PAC ID: 3072836600 Enrollment ID: O20150106001211

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. Carolyn Jill Vandiver 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
Carolyn Jill Vandiver, MD 1750 North Hampton Road, Desoto, TX 75115-2306 Ph: (214) 946-4397	Carolyn Jill Vandiver, MD 1750 North Hampton Road, Desoto, TX 75115-2306 Ph: (214) 946-4397

Reviews and Comments

Radiology Doctors in Desoto, TX

Brian Robert Crowhurst, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399
John D Wilson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 817-321-0404
Michelle Moate, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1750 N Hampton Rd, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399
David Leifer, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399
Tamara Campbell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399
Timothy Ponder, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399
David R Knight, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1750 North Hampton Road, Desoto, TX 75115 Phone: 214-946-4397 Fax: 214-946-4399

Carolyn Jill Vandiver, MD - Medicare Diagnostic Radiology in Desoto, TX