Dr Jack A Dekkinga, MD in Wyoming, MI

Dr Jack A Dekkinga, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Wyoming, Michigan. His current practice location is 1673 Gezon Pkwy Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 243-3376.

Dr Jack A Dekkinga is licensed to practice in Michigan (license number 5601039679) 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 1255365334.

Contact Information

	Dr Jack A Dekkinga, MD
	1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519
	(616) 243-3376
	(616) 243-3377

Map and Direction

Physician's Profile

Full Name	Dr Jack A Dekkinga
Gender	Male
Speciality
Experience	Years
Location	1673 Gezon Pkwy Sw, Wyoming, Michigan
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:

Dr Jack A Dekkinga attended and graduated from in

NPI Data:

NPI Number: 1255365334
Provider Enumeration Date: 07/11/2006
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Jack A Dekkinga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255365334	NPI	-	NPPES
070D16223	Other	MI	BCBS MI
DX9137	Other		MEDICARE RR GROUP
1255365334	Medicaid	MI
MI11296	Other		MEDICARE PTAN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	4301039679 (Michigan)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	5601039679 (Michigan)	Primary

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. Dr Jack A Dekkinga 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
Dr Jack A Dekkinga, MD 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519 Ph: (616) 243-3376	Dr Jack A Dekkinga, MD 1673 Gezon Pkwy Sw, Wyoming, MI 49519-9519 Ph: (616) 243-3376

Reviews and Comments

Dermatology Doctors in Wyoming, MI

Kathryn Arnold Leonard, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200
Dr. Ryan Dale Freeland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1673 Gezon Pkwy Sw, Wyoming, MI 49519 Phone: 616-893-6324 Fax: 616-243-3377

Dr Jack A Dekkinga, MD - Medicare in Wyoming, MI