Jenna Van Dyck, PA-C is a medicare enrolled "Physician Assistant" in Chester, Connecticut. Her current practice location is
150 Main St, Chester, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 358-5005.
Jenna Van Dyck is licensed to practice in Connecticut (license number 1170894) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053928044
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062822455
- Enrollment ID: I20241101000220
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
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 |
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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