Mark William Van Dyke, DO - Medicare Internal Medicine in Erie, PA

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Mark William Van Dyke, DO is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Erie, Pennsylvania. His current practice location is 306 W 11th St 2nd Fl, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 240-6216.

Mark William Van Dyke is licensed to practice in Pennsylvania (license number OS006067E) 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 1407906613.

Contact Information

Mark William Van Dyke, DO
306 W 11th St 2nd Fl,
Erie, PA 16501-1705
(814) 240-6216
(814) 240-6219

Map and Direction




Physician's Profile

Full NameMark William Van Dyke
GenderMale
SpecialityInternal Medicine - Addiction Medicine
Location306 W 11th St 2nd Fl, Erie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407906613
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 04/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7315002789
  • Enrollment ID: I20090218000553

Medical Identifiers

Medical identifiers for Mark William Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407906613NPI-NPPES
0011147300006MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services OS006067E (Pennsylvania)Secondary
2083X0100XPreventive Medicine - Occupational Medicine OS006067E (Pennsylvania)Secondary
207RA0401XInternal Medicine - Addiction Medicine OS006067E (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. Mark William Van Dyke allows following entities to bill medicare on his behalf.
Entity NameRegional Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174520654
PECOS PAC ID: 4880593722
Enrollment ID: O20040108000694
Entity NameEpn Hamot Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518283753
PECOS PAC ID: 1052443249
Enrollment ID: O20100723000525
Entity NameNew Directions Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306242821
PECOS PAC ID: 4587983440
Enrollment ID: O20150428001038

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. Mark William 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 AddressPractice Location Address
Mark William Van Dyke, DO
306 W 11th St, 2nd Floor,
Erie, PA 16501-1746

Ph: (814) 240-6216		Mark William Van Dyke, DO
306 W 11th St 2nd Fl,
Erie, PA 16501-1705

Ph: (814) 240-6216

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.