Mr Leroy Keith Van Dyke, PA - Physician Assistant in Moses Lake, WA

Mr Leroy Keith Van Dyke, PA is a Physician Assistant based in Moses Lake, Washington. Mr Leroy Keith Van Dyke is licensed to practice in Washington (license number PA10003296) and his current practice location is 3322 Road N Ne, Moses Lake, Washington. He can be reached at his office (for appointments etc.) via phone at (509) 793-9051.

NPI number for Mr Leroy Keith Van Dyke is 1306842307 and his current mailing address is 3322 Road N Ne, Moses Lake, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306842307.

Contact Information

Mr Leroy Keith Van Dyke, PA
3322 Road N Ne,
Moses Lake, WA 98837-9505
(509) 793-9051
(509) 766-8585

Map and Direction




Provider's Profile

Full NameMr Leroy Keith Van Dyke
GenderMale
SpecialityPhysician Assistant
Location3322 Road N Ne, Moses Lake, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306842307
  • Provider Enumeration Date: 06/23/2005
  • Last Update Date: 01/18/2024

Medical Identifiers

Medical identifiers for Mr Leroy Keith Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306842307NPI-NPPES
8421323MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA10003296 (Washington)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. Mr Leroy Keith Van Dyke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Leroy Keith Van Dyke, PA
3322 Road N Ne,
Moses Lake, WA 98837-9505

Ph: (509) 793-9051
Mr Leroy Keith Van Dyke, PA
3322 Road N Ne,
Moses Lake, WA 98837-9505

Ph: (509) 793-9051

Reviews and Comments


Physician Assistant Nurses in Moses Lake, WA

Mr. Ethan D Washburn, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9770    
Chloe Noel Kesterson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    
Joseph Hancock, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9789    Fax: 509-764-3266
Tracy L Estrellado, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Ms. Jennipher Colas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Corbin Moberg,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-793-9785    Fax: 509-764-0344
Mitchell David Valente, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9790    Fax: 509-764-3244

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.