Percival Christopher Vandaam, MPAS, PA-C - Medicare Physician Assistant in Everett, MA

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Percival Christopher Vandaam, MPAS, PA-C is a medicare enrolled "Physician Assistant" in Everett, Massachusetts. His current practice location is 103 Garland Street, Whidden Hospital Emergency Department, Everett, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 665-1000.

Percival Christopher Vandaam is licensed to practice in Massachusetts (license number PA4149) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104117431.

Contact Information

Percival Christopher Vandaam, MPAS, PA-C
103 Garland Street, Whidden Hospital Emergency Department,
Everett, MA 02149
(617) 665-1000
Not Available

Map and Direction




Provider's Profile

Full NamePercival Christopher Vandaam
GenderMale
SpecialityPhysician Assistant
Location103 Garland Street, Everett, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104117431
  • Provider Enumeration Date: 04/20/2011
  • Last Update Date: 11/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4789862590
  • Enrollment ID: I20110627000557

Medical Identifiers

Medical identifiers for Percival Christopher Vandaam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104117431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA4149 (Massachusetts)Primary
363A00000XPhysician Assistant PA00579 (Rhode Island)Secondary

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. Percival Christopher Vandaam allows following entities to bill medicare on his behalf.
Entity NameMedical Affiliates of Cape Cod Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770534927
PECOS PAC ID: 3577471564
Enrollment ID: O20040510001010
Entity NameCambridge Public Health Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932313228
PECOS PAC ID: 8921910894
Enrollment ID: O20050808000725
Entity NameEmerson Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972742542
PECOS PAC ID: 9931253838
Enrollment ID: O20090812000058
Entity NameEmergency Physicians of Falmouth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376828988
PECOS PAC ID: 9032377569
Enrollment ID: O20120229000783
Entity NameUrgi Center Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902146798
PECOS PAC ID: 3476790601
Enrollment ID: O20130508000075

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. Percival Christopher Vandaam 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 AddressPractice Location Address
Percival Christopher Vandaam, MPAS, PA-C
Cambirdge Health Alliance., 1493 Cambridge Street,
Cambridge, MA 02139

Ph: (617) 665-1000		Percival Christopher Vandaam, MPAS, PA-C
103 Garland Street, Whidden Hospital Emergency Department,
Everett, MA 02149

Ph: (617) 665-1000

Reviews and Comments


Physician Assistant Nurses in Everett, MA

Nicole Kostarellas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 103 Garland St, Everett, MA 02149
Phone: 617-381-7150    
Kristin Magdycz, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 103 Garland St, Everett, MA 02149
Phone: 617-389-6270    
Anthony Joseph Danna, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 103 Garland St Emergency Department, Everett, MA 02149
Phone: 617-381-5060    
Eliana Destin, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 72 Clarence St, Everett, MA 02149
Phone: 857-258-8252    
Philip A. Clater, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 103 Garland St, Emergency Department, Everett, MA 02149
Phone: 617-665-1600    Fax: 617-665-1976
Matthew Meagher, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 103 Garland St, Everett, MA 02149
Phone: 617-389-6270    
Andrew Edward Olsen, MS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 391 Broadway, Everett, MA 02149
Phone: 617-394-7702    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.