Dr Dennis Dale Van Vliet, AUD is a medicare enrolled "Audiologist" provider in Yorba Linda, California. His current practice location is
17021 Yorba Linda Blvd, Suite 130, Yorba Linda, California. You can reach out to his office (for appointments etc.) via phone at
(714) 579-0717.
Dr Dennis Dale Van Vliet is licensed to practice in California (license number AU368) 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 1386685154.
Healthcare Provider's Profile
Full Name | Dr Dennis Dale Van Vliet |
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Gender | Male |
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Speciality | Audiologist |
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Location | 17021 Yorba Linda Blvd, Yorba Linda, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386685154
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3274505334
- Enrollment ID: I20040810000539
Medical Identifiers
Medical identifiers for Dr Dennis Dale Van Vliet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386685154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AU368 (California) | Primary |
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 Dennis Dale Van Vliet 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 |
Dr Dennis Dale Van Vliet, AUD 17021 Yorba Linda Blvd, Suite 130, Yorba Linda, CA 92886-3743 Ph: (714) 579-0717 | Dr Dennis Dale Van Vliet, AUD 17021 Yorba Linda Blvd, Suite 130, Yorba Linda, CA 92886-3743 Ph: (714) 579-0717 |
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