Dr James M Van Daalen, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jeffersonville, Indiana. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Rhn Clark Memorial Physician Practices Llc, Rhn Clark Memorial Physician Practices Llc and his current practice location is
207 Sparks Ave Ste 201, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 280-1419.
Dr James M Van Daalen is licensed to practice in Indiana (license number 10146343A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972516094.
Physician's Profile
| Full Name | Dr James M Van Daalen |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 42 Years |
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| Location | 207 Sparks Ave Ste 201, Jeffersonville, Indiana |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr James M Van Daalen attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1982
NPI Data:
- NPI Number: 1972516094
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678516002
- Enrollment ID: I20100818000849
Medical Identifiers
Medical identifiers for Dr James M Van Daalen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972516094 | NPI | - | NPPES |
| 26040 | Other | KY | STATE LICENSE |
| 01046343A | Other | IN | STATE LICENSE |
| 100388990 | Medicaid | IN | |
| 1059597 | Other | KY | PASSPORT |
| 64260409 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 10146343A (Indiana) | Primary |
| 208600000X | Surgery | 01046343A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 26040 (Kentucky) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rhn Clark Memorial Physician Practices Llc | 0840504114 | 85 |
| Rhn Clark Memorial Physician Practices Llc | 0840504114 | 85 |
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 James M Van Daalen allows following entities to bill medicare on his behalf.
| Entity Name | Rhn Clark Memorial Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083098651
PECOS PAC ID: 0840504114
Enrollment ID: O20150821012869 |
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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. Dr James M Van Daalen 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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Dr James M Van Daalen, MD
Po Box 776351,
Chicago, IL 60677-6351
Ph: (502) 588-9490 | Dr James M Van Daalen, MD
207 Sparks Ave Ste 201,
Jeffersonville, IN 47130-3739
Ph: (812) 280-1419 |
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