| Dr Rustan Joel Van Wyk, DO | |
|
275 Bethesda Dr, Greenville, NC 27834-7217 | |
| (252) 752-5077 | |
| Not Available |
| Full Name | Dr Rustan Joel Van Wyk |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 275 Bethesda Dr, Greenville, North Carolina |
| 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 |
|---|---|---|---|
| 1861474439 | NPI | - | NPPES |
| Q013975 | Medicaid | TN | |
| 1861474439 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | DO0000002787 (Tennessee) | Secondary |
| 208800000X | Urology | 200001545 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Dlp Rutherford Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821322 PECOS PAC ID: 0345466561 Enrollment ID: O20140724001507 |
| Entity Name | Dlp Western Carolina Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281641 PECOS PAC ID: 9032338975 Enrollment ID: O20140908002531 |
| Entity Name | Vidant Medical Group Affiliates Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437549896 PECOS PAC ID: 5395066138 Enrollment ID: O20150605000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rustan Joel Van Wyk, DO 275 Bethesda Dr, Greenville, NC 27834-7217 Ph: (252) 752-5077 | Dr Rustan Joel Van Wyk, DO 275 Bethesda Dr, Greenville, NC 27834-7217 Ph: (252) 752-5077 |
Jonathan Harris Taylor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6678 Fax: 252-215-2905 | |
Dr. Jeffrey B Asbury, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Bethesda Dr, Greenville, NC 27834 Phone: 252-752-5077 | |
Dr. Nathaniel John Williams, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Bethesda Dr, Greenville, NC 27834 Phone: 252-752-5077 | |
Mason Scott Holtel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6678 Fax: 252-215-2906 | |
Dr. William Foster Rawls, MD, MSCR Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Bethesda Dr, Greenville, NC 27834 Phone: 252-752-5077 | |
Dr. Jonathan Nathaniel Hamilton, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Bethesda Dr, Greenville, NC 27834 Phone: 252-752-5077 Fax: 252-752-9544 | |
Dr. Matthew Alan Collins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Bethesda Dr, Greenville, NC 27834 Phone: 252-752-5077 Fax: 252-752-9544 |