Frederic J Van Dis, MD in Roseburg, OR - Medicare Cardiovascular Disease (cardiology)

Frederic J Van Dis, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Roseburg, Oregon. He went to University Of Michigan Medical School and graduated in 1976 and has 48 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Centennial Medical Group Inc, Mercy Medical Center, Inc. and his current practice location is 2801 Nw Mercy Dr, Ste. 300, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 677-1555.

Frederic J Van Dis is licensed to practice in Oregon (license number MD12356) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093786261.

Contact Information

	Frederic J Van Dis, MD
	2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471
	(541) 677-1555
	(541) 677-6543

Map and Direction

Physician's Profile

Full Name	Frederic J Van Dis
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	48 Years
Location	2801 Nw Mercy Dr, Roseburg, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Frederic J Van Dis attended and graduated from University Of Michigan Medical School in 1976

NPI Data:

NPI Number: 1093786261
Provider Enumeration Date: 01/27/2006
Last Update Date: 05/26/2020

Medicare PECOS Information:

PECOS PAC ID: 9234122995
Enrollment ID: I20040610001502

Medical Identifiers

Medical identifiers for Frederic J Van Dis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093786261	NPI	-	NPPES
060070869	Other	OR	RAILROAD MEDICARE
MD12356	Other	OR	LICENSE
114173	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	MD12356 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Medical Group Inc	6103982962	46
Mercy Medical Center, Inc.	9234047697	3

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. Frederic J Van Dis allows following entities to bill medicare on his behalf.

Entity Name	Mercy Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811038367 PECOS PAC ID: 9234047697 Enrollment ID: O20031111000222

Entity Name	Centennial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063

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. Frederic J Van Dis 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
Frederic J Van Dis, MD 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 Ph: (541) 677-4319	Frederic J Van Dis, MD 2801 Nw Mercy Dr, Ste. 300, Roseburg, OR 97471 Ph: (541) 677-1555

Reviews and Comments

Internal Medicine Doctors in Roseburg, OR

Dr. Neil Kumar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2410 Nw Edenbower Blvd Ste 176, Roseburg, OR 97471 Phone: 541-957-1133 Fax: 541-957-1799
Bhanu Prasad Paladugu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 561-677-1773 Fax: 541-677-1794
Kurt A Brickner, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 Phone: 541-673-5579 Fax: 541-673-0576
Dr. Luul - Ghebrednghil, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1344
Dr. Alpana Chandra, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471 Phone: 541-672-9515 Fax: 541-464-3177
Siobhan A Oreilly, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 272 Medical Loop, Suite B, Roseburg, OR 97471 Phone: 541-464-5400 Fax: 541-464-5411
Harold F Anderson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392

Frederic J Van Dis, MD - Medicare Cardiovascular Disease (cardiology) in Roseburg, OR