John Chandler Van Dyke, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Gulf Breeze, Florida. His current practice location is
1118 Gulf Breeze Pkwy Ste 202, Gulf Breeze, Florida. You can reach out to his office (for appointments etc.) via phone at
(504) 326-8518.
John Chandler Van Dyke is licensed to practice in Florida (license number ME163076) 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 1487151536.
Physician's Profile
| Full Name | John Chandler Van Dyke |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 1118 Gulf Breeze Pkwy Ste 202, Gulf Breeze, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1487151536
- Provider Enumeration Date: 04/06/2018
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375890692
- Enrollment ID: I20230823004532
Medical Identifiers
Medical identifiers for John Chandler Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487151536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD.46805 (Alabama) | Secondary |
| 208D00000X | General Practice | 327710 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME163076 (Florida) | 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. John Chandler Van Dyke allows following entities to bill medicare on his behalf.
| Entity Name | Radiology Associates Of Pensacola Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396759684
PECOS PAC ID: 0749240836
Enrollment ID: O20041013000659 |
|---|
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. John Chandler Van Dyke 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 |
|---|
John Chandler Van Dyke, MD
1542 Tulane Ave Fl 4,
New Orleans, LA 70112-2865
Ph: (504) 962-6110 | John Chandler Van Dyke, MD
1118 Gulf Breeze Pkwy Ste 202,
Gulf Breeze, FL 32561-7803
Ph: (504) 326-8518 |
Reviews and Comments