Tim Van Der Perren, - Medicare Speech-Language Pathologist in Oconto, WI

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Tim Van Der Perren, is a medicare enrolled "Speech-language Pathologist" provider in Oconto, Wisconsin. His current practice location is 501 Park Ave, Oconto, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 834-6875.

Tim Van Der Perren is licensed to practice in Wisconsin (license number 1928-154) 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 1972615292.

Contact Information

Tim Van Der Perren,
501 Park Ave,
Oconto, WI 54153-1612
(920) 834-6875
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTim Van Der Perren
GenderMale
SpecialitySpeech-language Pathologist
Location501 Park Ave, Oconto, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972615292
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5799025896
  • Enrollment ID: I20190328000547

Medical Identifiers

Medical identifiers for Tim Van Der Perren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972615292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 1928-154 (Wisconsin)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. Tim Van Der Perren allows following entities to bill medicare on his behalf.
Provider NameSt Clare Memorial Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037

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. Tim Van Der Perren 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
Tim Van Der Perren,
2543 Telluride Trl Apt C,
Green Bay, WI 54313-3972

Ph: () -		Tim Van Der Perren,
501 Park Ave,
Oconto, WI 54153-1612

Ph: (920) 834-6875

Reviews and Comments


Speech-Language Pathologist in Oconto, WI

Christine Prasse,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 501 Park Ave, Oconto, WI 54153
Phone: 920-834-6875    
Megan Lindstrom,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 400 Michigan Ave, Oconto, WI 54153
Phone: 920-834-7814    
Briana Jones,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 101 1st St, Oconto, WI 54153
Phone: 630-418-3029    

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.