Elizabeth Van Dyck, DPT in Midvale, UT - Medicare Physical Therapist Provider

Elizabeth Van Dyck, DPT is a medicare enrolled "Physical Therapist" provider in Midvale, Utah. Her current practice location is 7259 S Bingham Junction Blvd, Midvale, Utah. You can reach out to her office (for appointments etc.) via phone at (616) 975-5077.

Elizabeth Van Dyck is licensed to practice in Maine (license number PT5659) 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 1588274674.

Contact Information

	Elizabeth Van Dyck, DPT
	7259 S Bingham Junction Blvd, Midvale, UT 84047-4860
	(616) 975-5077
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Van Dyck
Gender	Female
Speciality	Physical Therapist
Location	7259 S Bingham Junction Blvd, Midvale, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588274674
Provider Enumeration Date: 08/04/2020
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8123446085
Enrollment ID: I20200910000143

Medical Identifiers

Medical identifiers for Elizabeth Van Dyck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588274674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5659 (Maine)	Primary

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. Elizabeth Van Dyck allows following entities to bill medicare on her behalf.

Provider Name	Coastal Rehab, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962465799 PECOS PAC ID: 5193777506 Enrollment ID: O20121119000549

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. Elizabeth 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
Elizabeth Van Dyck, DPT 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 Ph: () -	Elizabeth Van Dyck, DPT 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 Ph: (616) 975-5077

Reviews and Comments

Physical Therapist in Midvale, UT

Jason Michael Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8142 S State St, Ate 103, Midvale, UT 84047 Phone: 801-708-9226 Fax: 877-822-8366
Rebecca Flegal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 S 900 E Ste 201, Midvale, UT 84047 Phone: 801-649-4690 Fax: 801-984-4011
Fast Track Physical Therapy And Sports Medicine, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 South 900 East, Suite 201, Midvale, UT 84047 Phone: 801-649-4690 Fax: 801-984-4011
Jaron Pope, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6900 S 900 E, Midvale, UT 84047 Phone: 801-890-6626
D Jared Wehrli, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9590
Mr. Bret J. Wardle, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6900 S 900 E Ste 100, Midvale, UT 84047 Phone: 801-890-6626 Fax: 801-432-8788
Celeste Alcala, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-930-3000

Elizabeth Van Dyck, DPT - Medicare Physical Therapist in Midvale, UT