Amy Van De Wielle, - Medicare Nurse Practitioner in South Bend, IN

Amy Van De Wielle, is a medicare enrolled "Nurse Practitioner - Primary Care" physician in South Bend, Indiana. Her current practice location is 211 N Eddy St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 204-6522.

Amy Van De Wielle is licensed to practice in Michigan (license number 4704393829) 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 1144953902.

Contact Information

Amy Van De Wielle,
211 N Eddy St,
South Bend, IN 46617-3096
(574) 204-6522
Not Available



Physician's Profile

Full NameAmy Van De Wielle
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location211 N Eddy St, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144953902
  • Provider Enumeration Date: 07/07/2022
  • Last Update Date: 03/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830572841
  • Enrollment ID: I20220823003433

Medical Identifiers

Medical identifiers for Amy Van De Wielle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144953902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 1609362375 (Michigan)Secondary
363LP2300XNurse Practitioner - Primary Care 4704393829 (Michigan)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. Amy Van De Wielle allows following entities to bill medicare on her behalf.
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127

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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. Amy Van De Wielle 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
Amy Van De Wielle,
211 N Eddy St,
South Bend, IN 46617-3096

Ph: (574) 204-6522
Amy Van De Wielle,
211 N Eddy St,
South Bend, IN 46617-3096

Ph: (574) 204-6522

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Researchers from MSK Kids at Memorial Sloan Kettering Cancer Center (MSK) found that children with cancer are not at a higher risk of being affected by COVID-19.

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Takeda Pharmaceutical Company Limited and Nycomed A/S jointly announced today that Takeda has reached an agreement with the shareholders of Nycomed in which Takeda will acquire the Zurich-headquartered company for 9.6 billion Euro on a cash-free, debt-free basis.

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