Brenda M Veldboom, NP is a medicare enrolled "Nurse Practitioner" in Random Lake, Wisconsin. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
110 Butler St, Random Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 994-9094.
Brenda M Veldboom is licensed to practice in Wisconsin (license number 3202-033) 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 1992990667.
Provider's Profile
| Full Name | Brenda M Veldboom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 110 Butler St, Random Lake, Wisconsin |
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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. |
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Medical Education and Training:
- Brenda M Veldboom graduated from nursing school in 2007
NPI Data:
- NPI Number: 1992990667
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 09/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143315069
- Enrollment ID: I20071005000720
Medical Identifiers
Medical identifiers for Brenda M Veldboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992990667 | NPI | - | NPPES |
| 2007004590 | Other | WI | ANCC |
| 36042200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 3202-033 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3491 |
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. Brenda M Veldboom allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Brenda M Veldboom 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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Brenda M Veldboom, NP
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Brenda M Veldboom, NP
110 Butler St,
Random Lake, WI 53075-1708
Ph: (920) 994-9094 |
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