Jessica M Vanderham, CNP in Wagner, SD - Medicare Nurse Practitioner

Jessica M Vanderham, CNP is a medicare enrolled "Nurse Practitioner - Family" in Wagner, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kernersville Emergency Group, Pllc, Piedmont Triad Physicians Pllc, Tanglewood Park Physicians Pllc and her current practice location is 513 3rd St Sw, Wagner, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 384-3611.

Jessica M Vanderham is licensed to practice in South Dakota (license number CP001277) 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 1285143891.

Contact Information

	Jessica M Vanderham, CNP
	513 3rd St Sw, Wagner, SD 57380-9675
	(605) 384-3611
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica M Vanderham
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	513 3rd St Sw, Wagner, South Dakota
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:

Jessica M Vanderham graduated from nursing school in 2017

NPI Data:

NPI Number: 1285143891
Provider Enumeration Date: 09/26/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5991071409
Enrollment ID: I20230818002054

Medical Identifiers

Medical identifiers for Jessica M Vanderham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285143891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CP001277 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kernersville Emergency Group, Pllc	3375885429	28
Piedmont Triad Physicians Pllc	6406197334	20
Tanglewood Park Physicians Pllc	3476895129	22

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. Jessica M Vanderham allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Triad Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295206464 PECOS PAC ID: 6406197334 Enrollment ID: O20190403000344

Entity Name	Kernersville Emergency Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750852034 PECOS PAC ID: 3375885429 Enrollment ID: O20190422001205

Entity Name	Tanglewood Park Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093286379 PECOS PAC ID: 3476895129 Enrollment ID: O20190429001041

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. Jessica M Vanderham 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
Jessica M Vanderham, CNP 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3611	Jessica M Vanderham, CNP 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3611

Reviews and Comments

Nurse Practitioner Nurses in Wagner, SD

Lindsey Nedved, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Carol Lee Stewart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611

Jessica M Vanderham, CNP - Medicare Nurse Practitioner in Wagner, SD