Dr Robert J Van Dyke, DDS is a medicare enrolled "Dentist" provider in Ashwaubenon, Wisconsin. His current practice location is
844 Willard Dr, Ashwaubenon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 497-1302.
Dr Robert J Van Dyke is licensed to practice in Wisconsin (license number 5000719) 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 1982621496.
Healthcare Provider's Profile
Full Name | Dr Robert J Van Dyke |
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Gender | Male |
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Speciality | Dentist |
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Location | 844 Willard Dr, Ashwaubenon, Wisconsin |
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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: 1982621496
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 02/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 6901103084
- Enrollment ID: I20160405001516
Medical Identifiers
Medical identifiers for Dr Robert J Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982621496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5000719 (Wisconsin) | 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 Robert J Van Dyke 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 Robert J Van Dyke, DDS 844 Willard Dr, Ashwaubenon, WI 54304-5265 Ph: (920) 497-1302 | Dr Robert J Van Dyke, DDS 844 Willard Dr, Ashwaubenon, WI 54304-5265 Ph: (920) 497-1302 |
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