Gerald (gerry) C Van Dyke, PT | |
6193 Soquel Dr, Aptos, CA 95003-3116 | |
(831) 462-1212 | |
(831) 462-1221 |
Full Name | Gerald (gerry) C Van Dyke |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 40 Years |
Location | 6193 Soquel Dr, Aptos, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659318673 | NPI | - | NPPES |
650009364 | Other | CA | RAILROAD MEDICARE |
770393462 | Other | CA | BLUE CROSS |
PT0131810 | Medicaid | CA | |
ZZZ45601Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | PT13181 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Orthopedic And Sports Therapy Rehabilitation Services, Inc. | 6709940455 | 2 |
Provider Name | California Orthopedic & Sports Therapy Rehabilitation Services, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417164328 PECOS PAC ID: 6709940455 Enrollment ID: O20090126000377 |
Mailing Address | Practice Location Address |
---|---|
Gerald (gerry) C Van Dyke, PT 6193 Soquel Dr, Aptos, CA 95003-3116 Ph: (831) 462-1212 | Gerald (gerry) C Van Dyke, PT 6193 Soquel Dr, Aptos, CA 95003-3116 Ph: (831) 462-1212 |
Mohan Micheal Siegel, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Hyannis Ct, Aptos, CA 95003 Phone: 831-600-6214 | |
Sanna Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7539 Soquel Drive, Aptos, CA 95003 Phone: 831-688-1332 | |
Mrs. Kimberly Ann Barry, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2505c Cabrillo College Dr., Aptos, CA 95003 Phone: 831-464-3901 Fax: 831-464-3010 | |
Dr. Daniel Edward Campbell, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2505 Cabrillo College Dr, Aptos, CA 95003 Phone: 831-464-3901 | |
Mr. Kevin Eugene Howard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7575 Soquel Dr, Aptos, CA 95003 Phone: 831-688-5156 | |
Hina Shaikh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7887 Soquel Dr, Aptos, CA 95003 Phone: 831-662-4547 | |
Ismansjah Soekardi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6193 Soquel Drive, Aptos, CA 95003 Phone: 831-462-1212 Fax: 831-462-1221 |