Holly V Alfrey-van Dyk, MD - Medicare Obstetrics & Gynecology in Tuba City, AZ

Holly V Alfrey-van Dyk, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tuba City, Arizona. Her current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 283-2501.

Holly V Alfrey-van Dyk is licensed to practice in Arizona (license number 37165) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639106792.

Contact Information

Holly V Alfrey-van Dyk, MD
167 North Main Street,
Tuba City, AZ 86045-0600
(928) 283-2501
(928) 283-2677

Map and Direction




Physician's Profile

Full NameHolly V Alfrey-van Dyk
GenderFemale
SpecialityObstetrics & Gynecology
Location167 North Main Street, Tuba City, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639106792
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 06/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2062453624
  • Enrollment ID: I20050513000600

Medical Identifiers

Medical identifiers for Holly V Alfrey-van Dyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639106792NPI-NPPES
418328MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 27719 (Washington)Secondary
207V00000XObstetrics & Gynecology 37165 (Arizona)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. Holly V Alfrey-van Dyk allows following entities to bill medicare on her behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107
Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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. Holly V Alfrey-van Dyk 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 AddressPractice Location Address
Holly V Alfrey-van Dyk, MD
Po Box 600, 167 North Main Street,
Tuba City, AZ 86045-0600

Ph: (928) 283-2501
Holly V Alfrey-van Dyk, MD
167 North Main Street,
Tuba City, AZ 86045-0600

Ph: (928) 283-2501

Reviews and Comments


Obstetrics & Gynecology Doctors in Tuba City, AZ

Jennifer J Whitehair, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Amanda Leib, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Kathleen A Harner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
James Scott Deasy, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Lee Rose Wilde,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 167 North Main St, Tuba City, AZ 86045
Phone: 866-976-5940    
Kathy A Deasy, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.