Dr Judith Vanderryn, PHD in South Burlington, VT - Medicare Psychologist Provider

Dr Judith Vanderryn, PHD is a medicare enrolled "Psychologist - Clinical" provider in South Burlington, Vermont. Her current practice location is 595 Dorset St Ste 2, South Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 651-8999.

Dr Judith Vanderryn is licensed to practice in Vermont (license number 048.0134642) 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 1760587323.

Contact Information

	Dr Judith Vanderryn, PHD
	595 Dorset St Ste 2, South Burlington, VT 05403-6240
	(802) 651-8999
	(802) 651-8997

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Judith Vanderryn
Gender	Female
Speciality	Psychologist - Clinical
Location	595 Dorset St Ste 2, South Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760587323
Provider Enumeration Date: 09/14/2006
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7618032988
Enrollment ID: I20240118001798

Medical Identifiers

Medical identifiers for Dr Judith Vanderryn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760587323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	048.0134642 (Vermont)	Primary
103TC0700X	Psychologist - Clinical	2051 (Colorado)	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 Judith Vanderryn allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114348166 PECOS PAC ID: 5597996488 Enrollment ID: O20240118001436

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 Judith Vanderryn 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
Dr Judith Vanderryn, PHD Po Box 125, Vergennes, VT 05491-0125 Ph: (802) 651-8999	Dr Judith Vanderryn, PHD 595 Dorset St Ste 2, South Burlington, VT 05403-6240 Ph: (802) 651-8999

Reviews and Comments

Psychologist in South Burlington, VT

Gail Lynn Isenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd, Suite 120, South Burlington, VT 05403 Phone: 802-236-1675
Heather Lynch, PSYCHOLOGIST-MASTER Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34 Patchen Rd, South Burlington, VT 05403 Phone: 802-343-1701
Dr. Lindsay Bennigson Jernigan, PH.D., M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 185 Tilley Dr, Suite 14, South Burlington, VT 05403 Phone: 802-229-8270 Fax: 802-862-8411
Mrs. Raquel Ferns Lefebvre, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 595 Dorset St, Suite 2, South Burlington, VT 05403 Phone: 802-651-8999 Fax: 802-651-8997
Dr. Clifford Miles Karmiohl, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 22 Patchen Rd, South Burlington, VT 05403 Phone: 802-864-3012
Mr. Robert Macy Goodman, M.A., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Timber Ln, South Burlington, VT 05403 Phone: 802-651-7562 Fax: 802-860-3613
Eric N Petersen, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd Ste C4, South Burlington, VT 05403 Phone: 802-392-0405

Dr Judith Vanderryn, PHD - Medicare Psychologist in South Burlington, VT