Kelly Vander Veen, RN in Marina, CA - Medicare Nurse Practitioner

Kelly Vander Veen, RN is a medicare enrolled "Nurse Practitioner" in Marina, California. Her current practice location is 2930 2nd Ave Ste 120, Marina, California. You can reach out to her office (for appointments etc.) via phone at (831) 622-6935.

Kelly Vander Veen is licensed to practice in California (license number 95032694) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457134868.

Contact Information

	Kelly Vander Veen, RN
	2930 2nd Ave Ste 120, Marina, CA 93933-6244
	(831) 622-6935
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Vander Veen
Gender	Female
Speciality	Nurse Practitioner
Location	2930 2nd Ave Ste 120, Marina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457134868
Provider Enumeration Date: 08/17/2023
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1254868474
Enrollment ID: I20241227002970

Medical Identifiers

Medical identifiers for Kelly Vander Veen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457134868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95032694 (California)	Primary

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. Kelly Vander Veen allows following entities to bill medicare on her behalf.

Entity Name	Mogo Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770145682 PECOS PAC ID: 7810329976 Enrollment ID: O20191112002254

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. Kelly Vander Veen 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
Kelly Vander Veen, RN 165 Petery Ln, Aptos, CA 95003-9703 Ph: (831) 818-6886	Kelly Vander Veen, RN 2930 2nd Ave Ste 120, Marina, CA 93933-6244 Ph: (831) 622-6935

Reviews and Comments

Nurse Practitioner Nurses in Marina, CA

Angelika Chioino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2930 2nd Ave Ste 200, Marina, CA 93933 Phone: 831-582-2100
Ms. Erin Sullivan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave Ste 120, Marina, CA 93933 Phone: 831-622-6935
Lioudmila Tarbox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave Ste 120, Marina, CA 93933 Phone: 831-622-6935
Bethany Marie Carter, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 299 12th St, Marina, CA 93933 Phone: 831-647-7652 Fax: 831-647-7940
Nicole Geil, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2930 2nd Ave Ste 200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-886-1529
Lindsay Christine Cox, MSNFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3130 Del Monte Blvd, Marina, CA 93933 Phone: 831-883-3330

Kelly Vander Veen, RN - Medicare Nurse Practitioner in Marina, CA