Alicia Anne Vandewalle, APRN is a medicare enrolled "Nurse Practitioner - Family" in Randolph, Nebraska. Her current practice location is
106 E Wayne St, Randolph, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 337-0200.
Alicia Anne Vandewalle is licensed to practice in Nebraska (license number 112022) 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 1104276948.
Provider's Profile
Full Name | Alicia Anne Vandewalle |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 106 E Wayne St, Randolph, Nebraska |
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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:
- Alicia Anne Vandewalle attended and graduated from in
NPI Data:
- NPI Number: 1104276948
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Alicia Anne Vandewalle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104276948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 112022 (Nebraska) | Primary |
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. Alicia Anne Vandewalle 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 |
Alicia Anne Vandewalle, APRN Po Box 429, 402 N Maple, Osmond, NE 68765-0429 Ph: (402) 748-3393 | Alicia Anne Vandewalle, APRN 106 E Wayne St, Randolph, NE 68771-5300 Ph: (402) 337-0200 |
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