Dr Rourke Douglas Decker, DO is a medicare enrolled "Family Medicine" physician in Dickson City, Pennsylvania. His current practice location is
890 Viewmont Dr, Dickson City, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 383-0236.
Dr Rourke Douglas Decker is licensed to practice in Pennsylvania (license number OS023818) 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 1053960088.
Physician's Profile
Full Name | Dr Rourke Douglas Decker |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 890 Viewmont Dr, Dickson City, Pennsylvania |
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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: 1053960088
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577989144
- Enrollment ID: I20230307002904
Medical Identifiers
Medical identifiers for Dr Rourke Douglas Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053960088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 83221 (South Carolina) | Secondary |
208600000X | Surgery | 83221 (South Carolina) | Secondary |
208D00000X | General Practice | 83221 (South Carolina) | Secondary |
207Q00000X | Family Medicine | OS023818 (Pennsylvania) | 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 Rourke Douglas Decker allows following entities to bill medicare on his behalf.
Entity Name | Mcleod Physician Associates Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
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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 Rourke Douglas Decker 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 Rourke Douglas Decker, DO 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: () - | Dr Rourke Douglas Decker, DO 890 Viewmont Dr, Dickson City, PA 18519-1699 Ph: (570) 383-0236 |
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