James Martin Van Dyke, PT is a medicare enrolled "Physical Therapist" provider in New Carlisle, Ohio. His current practice location is
110 S Church St, New Carlisle, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 845-0260.
James Martin Van Dyke is licensed to practice in Ohio (license number PT003617) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528019338.
Healthcare Provider's Profile
| Full Name | James Martin Van Dyke |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 110 S Church St, New Carlisle, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528019338
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 05/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103848973
- Enrollment ID: I20051227000026
Medical Identifiers
Medical identifiers for James Martin Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528019338 | NPI | - | NPPES |
| 2627385 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT003617 (Ohio) | 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. James Martin Van Dyke allows following entities to bill medicare on his behalf.
| Provider Name | Family Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679652952
PECOS PAC ID: 9931121704
Enrollment ID: O20051221000114 |
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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. James Martin Van Dyke 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 |
|---|
James Martin Van Dyke, PT
110 S Church St,
New Carlisle, OH 45344-1902
Ph: (937) 845-0260 | James Martin Van Dyke, PT
110 S Church St,
New Carlisle, OH 45344-1902
Ph: (937) 845-0260 |
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