Jenna Van Dyck, PA-C is a
Physician Assistant based in Chester, Connecticut. Jenna Van Dyck is licensed to practice in Connecticut (license number 1170894) and her current practice location is
150 Main St, Chester, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 358-5005.
NPI number for Jenna Van Dyck is 1053928044 and her current mailing address is 150 Main St, Chester, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053928044.
Provider's Profile
Full Name | Jenna Van Dyck |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 150 Main St, Chester, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053928044
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 02/23/2021
Medical Identifiers
Medical identifiers for Jenna Van Dyck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053928044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1170894 (Connecticut) | Primary |
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. Jenna Van Dyck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenna Van Dyck, PA-C 150 Main St, Chester, CT 06412-1340 Ph: (860) 358-5005 | Jenna Van Dyck, PA-C 150 Main St, Chester, CT 06412-1340 Ph: (860) 358-5005 |
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