Mr Jeffrey Lynn Vanderburg, NP in Kernersville, NC

Mr Jeffrey Lynn Vanderburg, NP is a medicare enrolled "Nurse Practitioner" in Kernersville, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Forsyth Memorial Hospital Inc and his current practice location is 291 Broad St, Kernersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 993-8181.

Mr Jeffrey Lynn Vanderburg is licensed to practice in North Carolina (license number 5012759) 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 1487117461.

Contact Information

	Mr Jeffrey Lynn Vanderburg, NP
	291 Broad St, Kernersville, NC 27284-2932
	(336) 993-8181
	(336) 996-9539

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey Lynn Vanderburg
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	291 Broad St, Kernersville, North Carolina
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:

Mr Jeffrey Lynn Vanderburg graduated from nursing school in 2019

NPI Data:

NPI Number: 1487117461
Provider Enumeration Date: 04/08/2019
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8022446590
Enrollment ID: I20200316001560

Medical Identifiers

Medical identifiers for Mr Jeffrey Lynn Vanderburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487117461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5012759 (North Carolina)	Primary
163W00000X	Registered Nurse	171504 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Memorial Hospital Inc	9537071790	531

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. Mr Jeffrey Lynn Vanderburg allows following entities to bill medicare on his behalf.

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Mr Jeffrey Lynn Vanderburg 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
Mr Jeffrey Lynn Vanderburg, NP Po Box 751803, Charlotte, NC 28275-1803 Ph: () -	Mr Jeffrey Lynn Vanderburg, NP 291 Broad St, Kernersville, NC 27284-2932 Ph: (336) 993-8181

Reviews and Comments

Nurse Practitioner Nurses in Kernersville, NC

Mrs. Susan D. Sander, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 Kernersville Medical Pkwy, Kernersville, NC 27284 Phone: 336-515-5000 Fax: 336-515-5400
Lisa V Yang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Mountain St, Kernersville, NC 27284 Phone: 336-993-1618 Fax: 336-993-5512
Mrs. Arian Minton Robinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Dr. Shauna Embler Jarrett, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 Broad St, Kernersville, NC 27284 Phone: 336-993-8181 Fax: 336-996-9538
Omobolawa Oreoluwa Olagoke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284 Phone: 336-515-7440 Fax: 336-515-7449
Ashley Schmohl, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Old Winston Rd Ste 204b, Kernersville, NC 27284 Phone: 336-992-4242
Dr. Meredith Paige Dunzweiler, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Pineview Dr, Kernersville, NC 27284 Phone: 336-996-8410 Fax: 336-996-8405

Mr Jeffrey Lynn Vanderburg, NP - Medicare Nurse Practitioner in Kernersville, NC