Dr David G Van De Wyngaerde, MD | |
340 S Willard St, Cottonwood, AZ 86326-4126 | |
(928) 639-7960 | |
Not Available |
Full Name | Dr David G Van De Wyngaerde |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 38 Years |
Location | 340 S Willard St, Cottonwood, Arizona |
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 |
---|---|---|---|
1528065919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2013 (North Carolina) | Secondary |
208600000X | Surgery | 201300063 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 17528 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Verde Valley Medical Center | Cottonwood, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Arizona Healthcare Corporation | 3577473362 | 370 |
Entity Name | Hrmc, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003139387 PECOS PAC ID: 3072641265 Enrollment ID: O20100508000148 |
Entity Name | Northern Arizona Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Dr David G Van De Wyngaerde, MD 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Dr David G Van De Wyngaerde, MD 340 S Willard St, Cottonwood, AZ 86326-4126 Ph: (928) 639-7960 |
Jack Winfred Wylie, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 450 S Willard St, Suite 105, Cottonwood, AZ 86326 Phone: 928-634-1112 Fax: 928-634-1117 | |
Brian T Duggan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-634-1117 | |
Dr. William Hallier, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-634-1117 | |
Richard Cobden, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 708 Cove Pkwy, Cottonwood, AZ 86326 Phone: 907-374-6602 Fax: 800-877-5680 | |
Dr. Allen D Boyd, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 450 S Willard St, Suite 105, Cottonwood, AZ 86326 Phone: 928-634-1112 Fax: 928-634-1117 |