Dr Cornelius Mckown Dyke, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Gastonia, North Carolina. He went to Duke University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is
2555 Court Dr, Suite 200, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 671-7670.
Dr Cornelius Mckown Dyke is licensed to practice in North Dakota (license number 11686) 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 1245226083.
Physician's Profile
| Full Name | Dr Cornelius Mckown Dyke |
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| Gender | Male |
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| Speciality | Cardiac Surgery |
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| Experience | 37 Years |
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| Location | 2555 Court Dr, Gastonia, North Carolina |
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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. |
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Medical Education and Training:
- Dr Cornelius Mckown Dyke attended and graduated from Duke University School Of Medicine in 1987
NPI Data:
- NPI Number: 1245226083
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 09/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 1355395591
- Enrollment ID: I20110112000440
Medical Identifiers
Medical identifiers for Dr Cornelius Mckown Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245226083 | NPI | - | NPPES |
| 891127W | Medicaid | NC | |
| N00243 | Medicaid | SC | |
| P00223121 | Other | NC | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 9800242 (North Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 11686 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Medical Center Fargo | 8426967803 | 1085 |
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 Cornelius Mckown Dyke allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221 |
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| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495 |
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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 Cornelius Mckown 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 |
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Dr Cornelius Mckown Dyke, MD
801 Broadway N,
Fargo, ND 58102-3641
Ph: (701) 234-2331 | Dr Cornelius Mckown Dyke, MD
2555 Court Dr, Suite 200,
Gastonia, NC 28054-2134
Ph: (704) 671-7670 |
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