Philip Clark Vandongen, MD in Edenton, NC - Medicare Internal Medicine

Philip Clark Vandongen, MD is a medicare enrolled "Internal Medicine" physician in Edenton, North Carolina. His current practice location is 211 Virginia Rd, Edenton, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 482-8451.

Philip Clark Vandongen is licensed to practice in North Carolina (license number 2012-01986) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982602157.

Contact Information

	Philip Clark Vandongen, MD
	211 Virginia Rd, Edenton, NC 27932-9668
	(252) 482-8451
	Not Available

Map and Direction

Physician's Profile

Full Name	Philip Clark Vandongen
Gender	Male
Speciality	Internal Medicine
Location	211 Virginia Rd, Edenton, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982602157
Provider Enumeration Date: 07/12/2005
Last Update Date: 06/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6103969811
Enrollment ID: I20130131000177

Medical Identifiers

Medical identifiers for Philip Clark Vandongen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982602157	NPI	-	NPPES
58-0474-4	Medicaid	VA
0080977000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	19090 (West Virginia)	Secondary
207P00000X	Emergency Medicine	2012-01986 (North Carolina)	Secondary
207R00000X	Internal Medicine	19090 (West Virginia)	Secondary
207R00000X	Internal Medicine	2012-01986 (North Carolina)	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. Philip Clark Vandongen allows following entities to bill medicare on his behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Philip Clark Vandongen 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
Philip Clark Vandongen, MD 148 Gov Eden House Rd, Merry Hill, NC 27957-9444 Ph: (304) 839-7790	Philip Clark Vandongen, MD 211 Virginia Rd, Edenton, NC 27932-9668 Ph: (252) 482-8451

Reviews and Comments

Internal Medicine Doctors in Edenton, NC

Dr. Michael T Hopkins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Virginia Rd, Edenton, NC 27932 Phone: 252-482-6193 Fax: 252-482-6228
Jeffrey F Severa, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Mark Dr, Edenton, NC 27932 Phone: 252-482-3047 Fax: 252-482-5061
Joseph Ray Haskett Jr., MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 104 Mark Dr, Edenton, NC 27932 Phone: 252-482-5171 Fax: 252-482-5173
Jaffer Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Mark Dr, Edenton, NC 27932 Phone: 252-482-5171 Fax: 252-482-5173
Roman S Dobransky, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Mark Dr, Edenton, NC 27932 Phone: 252-482-3047 Fax: 252-482-5061
John Stafford Taylor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Mark Dr, Edenton, NC 27932 Phone: 252-482-5171 Fax: 252-482-5173
Gregory Lee Hudson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Virginia Rd, Edenton, NC 27932 Phone: 800-893-9698

Philip Clark Vandongen, MD - Medicare Internal Medicine in Edenton, NC