Richard Dykstra, | |
180 Floyd Ave, Rocky Mount, VA 24151-1318 | |
(540) 483-5277 | |
(540) 489-6453 |
Full Name | Richard Dykstra |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 180 Floyd Ave, Rocky Mount, Virginia |
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 |
---|---|---|---|
1154852432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2020-02936 (North Carolina) | Secondary |
207P00000X | Emergency Medicine | 0101267433 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
Carilion Medical Center | Roanoke, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carilion Medical Center | 9830096585 | 773 |
Entity Name | Carilion Giles Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
Entity Name | Carilion Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
Mailing Address | Practice Location Address |
---|---|
Richard Dykstra, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Richard Dykstra, 180 Floyd Ave, Rocky Mount, VA 24151-1318 Ph: (540) 483-5277 |
Charles J Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 | |
Kimberly Lynn Abel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-853-0824 Fax: 540-981-8984 | |
John Edgar Lee Montgomery Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Emergency Dept, Rocky Mount, VA 24151 Phone: 540-483-5277 | |
Sherrill Worth Stockton Iii, M.D., PH.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 Fax: 540-489-6453 | |
Albert L Briggs Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 |