Mrs Leslie Polk Van Dyke, ARNP in Tyler, TX - Medicare Nurse Practitioner

Mrs Leslie Polk Van Dyke, ARNP is a medicare enrolled "Registered Nurse" in Tyler, Texas. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospitalist Medicine Physicians Of Texas Pllc and her current practice location is 1658 W Grande Blvd, Ste 100, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 617-6239.

Mrs Leslie Polk Van Dyke is licensed to practice in Kansas (license number 53-45551-051) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124023916.

Contact Information

	Mrs Leslie Polk Van Dyke, ARNP
	1658 W Grande Blvd, Ste 100, Tyler, TX 75703-4426
	(903) 617-6239
	(903) 617-6249

Map and Direction

Provider's Profile

Full Name	Mrs Leslie Polk Van Dyke
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	1658 W Grande Blvd, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Leslie Polk Van Dyke graduated from nursing school in 2003

NPI Data:

NPI Number: 1124023916
Provider Enumeration Date: 06/17/2005
Last Update Date: 05/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1557357662
Enrollment ID: I20040423000458

Medical Identifiers

Medical identifiers for Mrs Leslie Polk Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124023916	NPI	-	NPPES
8772NA	Other	TX	BCBS
200253540A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	53-45551-051 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospitalist Medicine Physicians Of Texas Pllc	3476688318	889

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. Mrs Leslie Polk Van Dyke allows following entities to bill medicare on her behalf.

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151112002441

Entity Name	Hospitalist Medicine Physicians Of Texas-tcg Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902384464 PECOS PAC ID: 3678825312 Enrollment ID: O20200127001753

Entity Name	Cogent Healthcare Of Texas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20220121000611

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. Mrs Leslie Polk 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
Mrs Leslie Polk Van Dyke, ARNP 10512 S 87th East Ave, Tulsa, OK 74133-7067 Ph: (903) 504-3376	Mrs Leslie Polk Van Dyke, ARNP 1658 W Grande Blvd, Ste 100, Tyler, TX 75703-4426 Ph: (903) 617-6239

Reviews and Comments

Registered Nurse Nurses in Tyler, TX

Mrs. Alita Elena Adair, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3405 Martha St, Tyler, TX 75702 Phone: 903-283-4692
Starla Taylor, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001
Ms. Patricia D Quiroz, RN BSN CNOR RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 E Dawson, Tyler, TX 75701 Phone: 903-531-4522 Fax: 903-525-1271
Edgar Eugene Mclemore Sr., Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684
Amanda Myhre, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001
Jeremy Michael Troyer, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5414 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-1601
Rebecca Counahan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-9714

Mrs Leslie Polk Van Dyke, ARNP - Medicare Nurse Practitioner in Tyler, TX