Katherine Nicole Vandenberg, MD in Cottonwood Heights, UT

Katherine Nicole Vandenberg, MD is a medicare enrolled "Plastic Surgery" physician in Cottonwood Heights, Utah. She went to Florida International Univ, College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Guthrie Medical Group Pc, Guthrie Medical Group Pc and her current practice location is 6686 S Highland Dr, Cottonwood Heights, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 937-9650.

Katherine Nicole Vandenberg is licensed to practice in Utah (license number 14220768-1205) 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 1013440189.

Contact Information

	Katherine Nicole Vandenberg, MD
	6686 S Highland Dr, Cottonwood Heights, UT 84121-3037
	(801) 937-9650
	Not Available

Map and Direction

Physician's Profile

Full Name	Katherine Nicole Vandenberg
Gender	Female
Speciality	Otolaryngology
Experience	9 Years
Location	6686 S Highland Dr, Cottonwood Heights, Utah
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:

Katherine Nicole Vandenberg attended and graduated from Florida International Univ, College Of Medicine in 2017

NPI Data:

NPI Number: 1013440189
Provider Enumeration Date: 04/06/2017
Last Update Date: 02/11/2026

Medicare PECOS Information:

PECOS PAC ID: 1850662115
Enrollment ID: I20231002000120

Medical Identifiers

Medical identifiers for Katherine Nicole Vandenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013440189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	14220768-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Robert Packer Hospital	Sayre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Guthrie Medical Group Pc	6002728656	725
Guthrie Medical Group Pc	6002728656	725

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. Katherine Nicole Vandenberg allows following entities to bill medicare on her behalf.

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220

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. Katherine Nicole Vandenberg 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
Katherine Nicole Vandenberg, MD 6686 S Highland Dr, Cottonwood Heights, UT 84121-3037 Ph: (801) 937-9650	Katherine Nicole Vandenberg, MD 6686 S Highland Dr, Cottonwood Heights, UT 84121-3037 Ph: (801) 937-9650

Katherine Nicole Vandenberg, MD - Medicare Otolaryngology in Cottonwood Heights, UT