Sadie Renee Vandyke, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Washington, Utah. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Premere Rehab Llc and her current practice location is
1525 E Ovation Pl, Washington, Utah. You can reach out to her office (for appointments etc.) via phone at
(208) 399-2072.
Sadie Renee Vandyke is licensed to practice in Utah (license number 12680527-4102) 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 1790414183.
Healthcare Provider's Profile
Full Name | Sadie Renee Vandyke |
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Gender | Female |
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Speciality | Qualified Speech Language Pathologist |
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Experience | 4 Years |
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Location | 1525 E Ovation Pl, Washington, Utah |
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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. |
Medical Education and Training:
- Sadie Renee Vandyke graduated from medical school in 2020
NPI Data:
- NPI Number: 1790414183
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204219686
- Enrollment ID: I20220817002766
Medical Identifiers
Medical identifiers for Sadie Renee Vandyke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790414183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 12680527-4102 (Utah) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Premere Rehab Llc | 2567434764 | 88 |
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. Sadie Renee Vandyke allows following entities to bill medicare on her behalf.
Provider Name | Premere Rehab Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1811278351 PECOS PAC ID: 2567434764 Enrollment ID: O20111130000600 |
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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. Sadie Renee Vandyke 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 |
Sadie Renee Vandyke, MS, CCC-SLP 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 Ph: () - | Sadie Renee Vandyke, MS, CCC-SLP 1525 E Ovation Pl, Washington, UT 84780-2759 Ph: (208) 399-2072 |
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