Dr Dean M Deluke, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Richmond, Virginia. His current practice location is
520 N 12th St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 628-6637.
Dr Dean M Deluke is licensed to practice in Virginia (license number 0401413275) 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 1023191038.
Healthcare Provider's Profile
| Full Name | Dr Dean M Deluke |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 520 N 12th St, Richmond, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023191038
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224288410
- Enrollment ID: I20121024000620
Medical Identifiers
Medical identifiers for Dr Dean M Deluke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023191038 | NPI | - | NPPES |
| 00711564 | Medicaid | NY | |
| 190009682 | Other | NY | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401413275 (Virginia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 0438000293 (Virginia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 0401413275 (Virginia) | 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 Dean M Deluke allows following entities to bill medicare on his behalf.
| Entity Name | Dentistry Vcu |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790877504
PECOS PAC ID: 3870484561
Enrollment ID: O20040323000226 |
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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. Dr Dean M Deluke 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 Dean M Deluke, DDS
1070 Nott St,
Schenectady, NY 12308-2410
Ph: (518) 374-9109 | Dr Dean M Deluke, DDS
520 N 12th St,
Richmond, VA 23298-5064
Ph: (804) 628-6637 |
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