Dr Dustin David Reykdal, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
3990 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 745-7233.
Dr Dustin David Reykdal is licensed to practice in * (Not Available) (license number ) 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 1154941805.
Physician's Profile
Full Name | Dr Dustin David Reykdal |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3990 John R St, Detroit, Michigan |
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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: 1154941805
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082035605
- Enrollment ID: I20231218002738
Medical Identifiers
Medical identifiers for Dr Dustin David Reykdal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154941805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 5101027154 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Dustin David Reykdal allows following entities to bill medicare on his behalf.
Entity Name | Beaumont Medical Group Hospital Based Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
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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 Dustin David Reykdal 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 Dustin David Reykdal, DO 3225 Bacon Ave, Berkley, MI 48072-1150 Ph: () - | Dr Dustin David Reykdal, DO 3990 John R St, Detroit, MI 48201-2018 Ph: (313) 745-7233 |
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