Holly V Alfrey-van Dyk, MD in Tuba City, AZ - Medicare Obstetrics & Gynecology

Holly V Alfrey-van Dyk, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tuba City, Arizona. Her current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 283-2501.

Holly V Alfrey-van Dyk is licensed to practice in Arizona (license number 37165) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639106792.

Contact Information

	Holly V Alfrey-van Dyk, MD
	167 North Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Physician's Profile

Full Name	Holly V Alfrey-van Dyk
Gender	Female
Speciality	Obstetrics & Gynecology
Location	167 North Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639106792
Provider Enumeration Date: 06/26/2006
Last Update Date: 06/29/2011

Medicare PECOS Information:

PECOS PAC ID: 2062453624
Enrollment ID: I20050513000600

Medical Identifiers

Medical identifiers for Holly V Alfrey-van Dyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639106792	NPI	-	NPPES
418328	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	27719 (Washington)	Secondary
207V00000X	Obstetrics & Gynecology	37165 (Arizona)	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. Holly V Alfrey-van Dyk allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

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. Holly V Alfrey-van Dyk 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
Holly V Alfrey-van Dyk, MD Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501	Holly V Alfrey-van Dyk, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Obstetrics & Gynecology Doctors in Tuba City, AZ

Jennifer J Whitehair, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Amanda Leib, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Kathleen A Harner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
James Scott Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Lee Rose Wilde, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5940
Kathy A Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677

Holly V Alfrey-van Dyk, MD - Medicare Obstetrics & Gynecology in Tuba City, AZ