Dr Rustan Joel Van Wyk, DO | |
128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | |
(828) 286-5576 | |
(828) 286-2278 |
Full Name | Dr Rustan Joel Van Wyk |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 128 Doctor Henry Norris Dr, Rutherfordton, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861474439 | NPI | - | NPPES |
Q013975 | Medicaid | TN | |
1861474439 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | DO0000002787 (Tennessee) | Secondary |
208800000X | Urology | 200001545 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rutherford Regional Medical Center | Rutherfordton, NC | Hospital |
Vidant Medical Center | Greenville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vidant Medical Group Llc | 0345343893 | 850 |
Dlp Rutherford Physician Practices Llc | 0345466561 | 30 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Dlp Rutherford Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962821322 PECOS PAC ID: 0345466561 Enrollment ID: O20140724001507 |
Entity Name | Dlp Western Carolina Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
Entity Name | Vidant Medical Group Affiliates Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437549896 PECOS PAC ID: 5395066138 Enrollment ID: O20150605000882 |
Mailing Address | Practice Location Address |
---|---|
Dr Rustan Joel Van Wyk, DO 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 Ph: (828) 286-5576 | Dr Rustan Joel Van Wyk, DO 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 Ph: (828) 286-5576 |
Dr. William Stewart Powell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 141 Tryon Rd, Suite B, Rutherfordton, NC 28139 Phone: 828-286-1445 Fax: 828-286-1443 |