Dr Tara Nicole Vandewyngaerde, OD is a medicare enrolled "Optometrist" provider in Mendota, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. Her current practice location is
700 14th Ave, Mendota, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 539-6291.
Dr Tara Nicole Vandewyngaerde is licensed to practice in Illinois (license number PENDING) 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 1528264603.
Healthcare Provider's Profile
| Full Name | Dr Tara Nicole Vandewyngaerde |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 17 Years |
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| Location | 700 14th Ave, Mendota, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tara Nicole Vandewyngaerde attended and graduated from Illinois College Of Optometry At Chicago in 2007
NPI Data:
- NPI Number: 1528264603
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 01/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 7113011719
- Enrollment ID: I20070913000143
Medical Identifiers
Medical identifiers for Dr Tara Nicole Vandewyngaerde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528264603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | PENDING (Illinois) | Primary |
| 152W00000X | Optometrist | 46009989 (Illinois) | 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. Dr Tara Nicole Vandewyngaerde allows following entities to bill medicare on her behalf.
| Provider Name | Tara N. Van De Wyngaerde Od Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215128806
PECOS PAC ID: 7012001613
Enrollment ID: O20070921000286 |
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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. Dr Tara Nicole Vandewyngaerde 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 |
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Dr Tara Nicole Vandewyngaerde, OD
807 Clark St,
Oglesby, IL 61348-1177
Ph: (815) 228-7623 | Dr Tara Nicole Vandewyngaerde, OD
700 14th Ave,
Mendota, IL 61342-1412
Ph: (815) 539-6291 |
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