Vickie L Vandeventer, FNP in Bloomington, IN - Medicare Nurse Practitioner

Vickie L Vandeventer, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Indiana. Her current practice location is 4935 W Arlington Rd, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-3800.

Vickie L Vandeventer is licensed to practice in Indiana (license number 71003333A) 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 1770890568.

Contact Information

	Vickie L Vandeventer, FNP
	4935 W Arlington Rd, Bloomington, IN 47404-1187
	(812) 353-3800
	(812) 353-3770

Map and Direction

Provider's Profile

Full Name	Vickie L Vandeventer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4935 W Arlington Rd, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770890568
Provider Enumeration Date: 09/01/2010
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2365624533
Enrollment ID: I20110309000219

Medical Identifiers

Medical identifiers for Vickie L Vandeventer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770890568	NPI	-	NPPES
201030630	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003333A (Indiana)	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. Vickie L Vandeventer allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

Entity Name	Arm Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992131049 PECOS PAC ID: 8729214887 Enrollment ID: O20131119000908

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. Vickie L Vandeventer 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
Vickie L Vandeventer, FNP Po Box 1329, Bloomington, IN 47402-1329 Ph: () -	Vickie L Vandeventer, FNP 4935 W Arlington Rd, Bloomington, IN 47404-1187 Ph: (812) 353-3800

Reviews and Comments

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Vickie L Vandeventer, FNP - Medicare Nurse Practitioner in Bloomington, IN