| Richard Dykstra, | |
|
180 Floyd Ave, Rocky Mount, VA 24151-1318 | |
| (540) 483-5277 | |
| (540) 489-6453 |
| Full Name | Richard Dykstra |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 180 Floyd Ave, Rocky Mount, Virginia |
| 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 |
|---|---|---|---|
| 1154852432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2020-02936 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 0101267433 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Medical Center | 9830096585 | 914 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1649423815 PECOS PAC ID: 9830096585 Enrollment ID: O20090320000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Dykstra, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Richard Dykstra, 180 Floyd Ave, Rocky Mount, VA 24151-1318 Ph: (540) 483-5277 |
Charles J Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 | |
John Edgar Lee Montgomery Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Emergency Dept, Rocky Mount, VA 24151 Phone: 540-483-5277 | |
Sherrill Worth Stockton Iii, M.D., PH.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 Fax: 540-489-6453 | |
Albert L Briggs Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 |