Bradley G Vantatenhove, in Bloomington, MN - Medicare Physician Assistant

Bradley G Vantatenhove, is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. His current practice location is 8100 Northland Dr, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

Bradley G Vantatenhove is licensed to practice in Minnesota (license number 15272) 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 1477360519.

Contact Information

	Bradley G Vantatenhove,
	8100 Northland Dr, Bloomington, MN 55431-4800
	(952) 831-8742
	Not Available

Map and Direction

Provider's Profile

Full Name	Bradley G Vantatenhove
Gender	Male
Speciality	Physician Assistant
Location	8100 Northland Dr, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477360519
Provider Enumeration Date: 12/12/2024
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 7012437809
Enrollment ID: I20250224002469

Medical Identifiers

Medical identifiers for Bradley G Vantatenhove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477360519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	15272 (Minnesota)	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. Bradley G Vantatenhove 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
Bradley G Vantatenhove, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Bradley G Vantatenhove, 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742

Reviews and Comments

Physician Assistant Nurses in Bloomington, MN

Jacob C Kruger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 528-359-9880
Meredith Jean Lorig, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Michelle Hopman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-881-2651 Fax: 952-885-6022
Victoria Shepard Williams, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Matthew Brian Hamilton Williams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
Michael Charles Lick, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435 Phone: 457-495-2767
Jason B Kimmel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 West 98th Street, Bloomington, MN 55420 Phone: 952-881-2651 Fax: 952-885-6065

Bradley G Vantatenhove, - Medicare Physician Assistant in Bloomington, MN