1. Home
  2. Directory
  3. New York
  4. Webster
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

PATRICK VANDERMARK
NPI 1790483758
Student in an Organized Health Care Education/Training Program in Webster, NY

Active since February 20, 2023PECOS EnrolledAccepts Medicare Assignment
1626 GLENDOWAN TER, WEBSTER, NY 14580(585) 645-7917 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick Vandermark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK VANDERMARK (NPI 1790483758) is an individual student in an organized health care education/training program in Webster, New York and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790483758
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePATRICK VANDERMARK
Location Address1626 GLENDOWAN TERWebster, NY 14580-8571
Mailing Address1626 Glendowan TerWebster, NY 14580-8571 · (585) 645-7917
Phone(585) 645-7917
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1790483758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1626 GLENDOWAN TER, Webster, NY 14580
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Vandermark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719413574
PECOS Enrollment IDI20241204001858
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Vandermark's NPI number?

The NPI number for Patrick Vandermark is 1790483758. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Patrick Vandermark located?

Patrick Vandermark practices at 1626 Glendowan Ter, Webster, NY 14580. The listed phone number is (585) 645-7917.

What is Patrick Vandermark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Patrick Vandermark enrolled in Medicare?

Yes. Patrick Vandermark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patrick Vandermark was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.