Dr Erik Andreas Dedekam, MD in Tacoma, WA

Dr Erik Andreas Dedekam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-5064.

Dr Erik Andreas Dedekam is licensed to practice in Nebraska (license number 25864) 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 1518193234.

Contact Information

	Dr Erik Andreas Dedekam, MD
	9040 Jackson Ave, Tacoma, WA 98431-1000
	(253) 968-5064
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Erik Andreas Dedekam
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518193234
Provider Enumeration Date: 06/09/2009
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3173740222
Enrollment ID: I20220812002351

Medical Identifiers

Medical identifiers for Dr Erik Andreas Dedekam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518193234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD61310177 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	25864 (Nebraska)	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 Erik Andreas Dedekam allows following entities to bill medicare on his behalf.

Entity Name	Tra-minw P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20040211000326

Entity Name	Union Avenue Open Mri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20040301001189

Entity Name	Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20081126000315

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 Erik Andreas Dedekam 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 Erik Andreas Dedekam, MD 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 Ph: (253) 968-5064	Dr Erik Andreas Dedekam, MD 9040 Jackson Ave, Tacoma, WA 98431-1000 Ph: (253) 968-5064

Reviews and Comments

Radiology Doctors in Tacoma, WA

Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553

Dr Erik Andreas Dedekam, MD - Medicare Radiology in Tacoma, WA