Jeffrey Vanderbilt, is a medicare enrolled "Nurse Practitioner" in White Pigeon, Michigan. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Health First Privia Medical Group, Llc and his current practice location is
69011 Wildwood Dr, White Pigeon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 483-9991.
Jeffrey Vanderbilt is licensed to practice in Michigan (license number 4704211765) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568542082.
Provider's Profile
| Full Name | Jeffrey Vanderbilt |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 69011 Wildwood Dr, White Pigeon, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeffrey Vanderbilt graduated from nursing school in 2013
NPI Data:
- NPI Number: 1568542082
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 06/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 3375533318
- Enrollment ID: I20230613000424
Medical Identifiers
Medical identifiers for Jeffrey Vanderbilt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568542082 | NPI | - | NPPES |
| 1568542082 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 4704211765 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 4704211765 (Michigan) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
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. Jeffrey Vanderbilt allows following entities to bill medicare on his behalf.
| Entity Name | Health First Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
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| Entity Name | Health First Privia Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
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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. Jeffrey Vanderbilt 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 |
Jeffrey Vanderbilt, 69011 Wildwood Dr, White Pigeon, MI 49099-7727 Ph: (269) 483-9991 | Jeffrey Vanderbilt, 69011 Wildwood Dr, White Pigeon, MI 49099-7727 Ph: (269) 483-9991 |
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