Nicholas Taylor Duletzke, in Vancouver, WA

Nicholas Taylor Duletzke, is a medicare enrolled "Surgery - Trauma Surgery" physician in Vancouver, Washington. His current practice location is 505 Ne 87th Ave Ste 301, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 514-1854.

Nicholas Taylor Duletzke is licensed to practice in Washington (license number MD61281239) 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 1417319922.

Contact Information

	Nicholas Taylor Duletzke,
	505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965
	(360) 514-1854
	(360) 514-6063

Map and Direction

Physician's Profile

Full Name	Nicholas Taylor Duletzke
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	505 Ne 87th Ave Ste 301, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417319922
Provider Enumeration Date: 03/23/2016
Last Update Date: 06/08/2022

Medicare PECOS Information:

PECOS PAC ID: 6204192826
Enrollment ID: I20220802002699

Medical Identifiers

Medical identifiers for Nicholas Taylor Duletzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417319922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD61281239 (Washington)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MD61281239 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0127X	Surgery - Trauma Surgery	MD61281239 (Washington)	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. Nicholas Taylor Duletzke allows following entities to bill medicare on his behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429

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. Nicholas Taylor Duletzke 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
Nicholas Taylor Duletzke, 30 N 1900 E, Salt Lake City, UT 84132-0002 Ph: (801) 581-6803	Nicholas Taylor Duletzke, 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 Ph: (360) 514-1854

Reviews and Comments

Surgery Doctors in Vancouver, WA

Andrew Edward Glover, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-3936
Louis Moreau, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-604-1771
Michael John O'toole, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 E Mill Plain Blvd, Vancouver, WA 98661 Phone: 360-619-4244
Toni Lucille Storm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Se 136th Ave, Vancouver, WA 98684 Phone: 360-944-9889 Fax: 360-944-9686
Jane Namkung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13712 Ne 10th Ave, Vancouver, WA 98685 Phone: 360-823-0860
Dr. James Bernard Kilway Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8614 E Mill Plain Blvd, Suite #201, Vancouver, WA 98664 Phone: 360-254-9991 Fax: 360-254-9997
Dr. Kathleen Alison Dunham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683 Phone: 360-597-1300

Nicholas Taylor Duletzke, - Medicare Surgery in Vancouver, WA