Dr Audrey Victoria Vandewall, DO - Medicare Pediatrics in Syracuse, NY

Dr Audrey Victoria Vandewall, DO is a medicare enrolled "Pediatrics" physician in Syracuse, New York. Her current practice location is 750 E Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 408-5854.

Dr Audrey Victoria Vandewall is licensed to practice in Michigan (license number 5101025536) 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 1003343237.

Contact Information

Dr Audrey Victoria Vandewall, DO
750 E Adams St,
Syracuse, NY 13210-2306
(315) 408-5854
Not Available



Physician's Profile

Full NameDr Audrey Victoria Vandewall
GenderFemale
SpecialityPediatrics
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003343237
  • Provider Enumeration Date: 05/18/2017
  • Last Update Date: 10/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608112529
  • Enrollment ID: I20221129002371

Medical Identifiers

Medical identifiers for Dr Audrey Victoria Vandewall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003343237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 5101025536 (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. Dr Audrey Victoria Vandewall allows following entities to bill medicare on her behalf.
Entity NameUniversity Pediatricians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811920549
PECOS PAC ID: 9638070568
Enrollment ID: O20040115000125

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Researchers find link between altered dopamine activity and social anxiety disorder

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› Verified 8 days ago

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 Audrey Victoria Vandewall 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
Dr Audrey Victoria Vandewall, DO
750 E Adams St,
Syracuse, NY 13210-2306

Ph: () -
Dr Audrey Victoria Vandewall, DO
750 E Adams St,
Syracuse, NY 13210-2306

Ph: (315) 408-5854

News Archive

Workshop on psychodrama therapy efficacy at iaedp Symposium 2012

Those suffering from eating disorders struggle with the idea of identity and self-image, unable to see clearly who they are emotionally and physically. During the presentation, "Psychodrama: Tools of Change" at the iaedp Symposium 2012, Mary Bellofatto, MA, LMHC, CEDS, TEP, NCC and Nancy Kirsner, PhD, M.Ed, OTR, TEP will lead a workshop on the efficacy of psychodrama therapy and how it can help patients overcome their struggle with one of the major stumbling blocks on the road to recovery.

NIH awards DiscoveryBioMed grant to develop therapies for cystic fibrosis

DiscoveryBioMed, Inc. (DBM) today announced that it has been awarded a Phase 1 Small Business Innovation Research (SBIR) grant by the National Institutes of Health (NIH). The $308,000 grant will be used to advance certain small molecule drug discovery programs designed to correct the genetic mutation most common to cystic fibrosis (CF).

Researchers find link between altered dopamine activity and social anxiety disorder

Using single-photon emission computed tomography (SPECT), researchers in The Netherlands were able to detect biochemical differences in the brains of individuals with generalized social anxiety disorder (also known as social phobia), providing evidence of a long-suspected biological cause for the dysfunction.

Hybrid model for hospital supply chains

University of Cincinnati analysis of hospital supply chains - how hospitals stock nursing stations with the hundreds of medicines, materials and even office supplies needed - holds promise in helping to make supply and re-supply efforts leaner and more cost effective.

Read more News

› Verified 8 days ago


Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210
Phone: 315-470-7379    Fax: 315-470-2923
Dr. David William Hansen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214
Phone: 315-464-5726    Fax: 315-464-2510
Shauna Thariath, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210
Phone: 315-464-5831    Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 East Adam St, Syracuse, NY 13210
Phone: 315-464-6323    Fax: 315-464-6322
Megan A Pinnamaneni, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5420    
Steven David Blatt, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210
Phone: 315-464-5831    Fax: 315-464-2030

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