Dr Karel A Deleeuw, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Fargo, North Dakota. He graduated from medical school in 1981 and has 44 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Banner - University Physician Specialists Llc and his current practice location is
1717 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 234-2000.
Dr Karel A Deleeuw is licensed to practice in North Dakota (license number 15017) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225013022.
Healthcare Provider's Profile
Full Name | Dr Karel A Deleeuw |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 44 Years |
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Location | 1717 University Dr S, Fargo, North Dakota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Karel A Deleeuw graduated from medical school in 1981
NPI Data:
- NPI Number: 1225013022
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042110348
- Enrollment ID: I20230327001152
Medical Identifiers
Medical identifiers for Dr Karel A Deleeuw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225013022 | NPI | - | NPPES |
86080015085259C381 | Other | AZ | TRIWEST |
P00150696 | Other | AZ | RAILROAD MEDICARE |
816936 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2332 (North Dakota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | PT15017 (North Dakota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 32072 (Arizona) | Secondary |
207Y00000X | Otolaryngology | 32072 (Arizona) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 15017 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner - University Physician Specialists Llc | 5991008054 | 241 |
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 Karel A Deleeuw allows following entities to bill medicare on his behalf.
Entity Name | Banner Hospital Based Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
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Entity Name | Banner - University Physician Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
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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 Karel A Deleeuw 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 Karel A Deleeuw, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Karel A Deleeuw, MD 1717 University Dr S, Fargo, ND 58103 Ph: (701) 234-2000 |
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