Dr Audrey Victoria Vandewall, DO in Syracuse, NY

Dr Audrey Victoria Vandewall, DO is a medicare enrolled "Pediatrics" physician in Syracuse, New York. Her current practice location is 750 E Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 408-5854.

Dr Audrey Victoria Vandewall is licensed to practice in Michigan (license number 5101025536) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003343237.

Contact Information

	Dr Audrey Victoria Vandewall, DO
	750 E Adams St, Syracuse, NY 13210-2306
	(315) 408-5854
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Audrey Victoria Vandewall
Gender	Female
Speciality	Pediatrics
Location	750 E Adams St, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003343237
Provider Enumeration Date: 05/18/2017
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6608112529
Enrollment ID: I20221129002371

Medical Identifiers

Medical identifiers for Dr Audrey Victoria Vandewall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003343237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101025536 (Michigan)	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. Dr Audrey Victoria Vandewall allows following entities to bill medicare on her behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

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. Dr Audrey Victoria Vandewall 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
Dr Audrey Victoria Vandewall, DO 750 E Adams St, Syracuse, NY 13210-2306 Ph: () -	Dr Audrey Victoria Vandewall, DO 750 E Adams St, Syracuse, NY 13210-2306 Ph: (315) 408-5854

Reviews and Comments

Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030

Dr Audrey Victoria Vandewall, DO - Medicare Pediatrics in Syracuse, NY