Dr Jack A Dekkinga, MD in Wyoming, MI

Dr Jack A Dekkinga, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wyoming, Michigan. He went to University Of Michigan Medical School and graduated in 1981 and has 43 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Wolverine Dermatology Pc and his current practice location is 1673 Gezon Pkwy Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 243-3376.

Dr Jack A Dekkinga is licensed to practice in Michigan (license number 5601039679) 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 1255365334.

Contact Information

	Dr Jack A Dekkinga, MD
	1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519
	(616) 243-3376
	(616) 243-3377

Map and Direction

Physician's Profile

Full Name	Dr Jack A Dekkinga
Gender	Male
Speciality	Dermatology
Experience	43 Years
Location	1673 Gezon Pkwy Sw, Wyoming, Michigan
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 Jack A Dekkinga attended and graduated from University Of Michigan Medical School in 1981

NPI Data:

NPI Number: 1255365334
Provider Enumeration Date: 07/11/2006
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 3072508134
Enrollment ID: I20051221000349

Medical Identifiers

Medical identifiers for Dr Jack A Dekkinga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255365334	NPI	-	NPPES
070D16223	Other	MI	BCBS MI
DX9137	Other		MEDICARE RR GROUP
1255365334	Medicaid	MI
MI11296	Other		MEDICARE PTAN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	4301039679 (Michigan)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	5601039679 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wolverine Dermatology Pc	9638435191	5

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 Jack A Dekkinga allows following entities to bill medicare on his behalf.

Entity Name	Wolverine Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679085161 PECOS PAC ID: 9638435191 Enrollment ID: O20171116000406

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 Jack A Dekkinga 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 Jack A Dekkinga, MD 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519 Ph: (616) 243-3376	Dr Jack A Dekkinga, MD 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519 Ph: (616) 243-3376

Reviews and Comments

Dermatology Doctors in Wyoming, MI

Kathryn Arnold Leonard, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Dr. Ryan Dale Freeland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1673 Gezon Pkwy Sw, Wyoming, MI 49519 Phone: 616-893-6324 Fax: 616-243-3377

Dr Jack A Dekkinga, MD - Medicare Dermatology in Wyoming, MI