Samuel Dyka, is a medicare enrolled "Physician Assistant" in Montrose, Michigan. His current practice location is
190 E State St, Montrose, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 639-2056.
Samuel Dyka is licensed to practice in Michigan (license number 5601001746) 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 1326183989.
Provider's Profile
Full Name | Samuel Dyka |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 190 E State St, Montrose, Michigan |
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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: 1326183989
- Provider Enumeration Date: 02/21/2007
- Last Update Date: 10/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 1456253343
- Enrollment ID: I20040122000065
Medical Identifiers
Medical identifiers for Samuel Dyka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326183989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601001746 (Michigan) | 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. Samuel Dyka 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 |
Samuel Dyka, 7070 Miller Rd, Ste A, Swartz Creek, MI 48473-1591 Ph: (810) 639-2056 | Samuel Dyka, 190 E State St, Montrose, MI 48457-9144 Ph: (810) 639-2056 |
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