Mr John Mark Van Eyk, MPT in Fort Defiance, AZ - Medicare Physical Therapist Provider

Mr John Mark Van Eyk, MPT is a medicare enrolled "Physical Therapist" provider in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Mr John Mark Van Eyk is licensed to practice in South Carolina (license number 7894) 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 1588739494.

Contact Information

	Mr John Mark Van Eyk, MPT
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649
	(928) 729-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Mark Van Eyk
Gender	Male
Speciality	Physical Therapist
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588739494
Provider Enumeration Date: 11/24/2006
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 8729117619
Enrollment ID: I20100602000994

Medical Identifiers

Medical identifiers for Mr John Mark Van Eyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588739494	NPI	-	NPPES
080448	Medicaid	AZ
89104064	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6870 (North Carolina)	Secondary
225100000X	Physical Therapist	7894 (South Carolina)	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. Mr John Mark Van Eyk allows following entities to bill medicare on his behalf.

Provider Name	The Fort Defiance Indian Hospital Board, Incorporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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 John Mark Van Eyk 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
Mr John Mark Van Eyk, MPT Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () -	Mr John Mark Van Eyk, MPT Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000

Reviews and Comments

Physical Therapist in Fort Defiance, AZ

Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Robbie Whitehair, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Kathryn Elizabeth Jacques, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132
Dr. Lily Jessica Wei, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Rte 12 And Rte 7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Mr John Mark Van Eyk, MPT - Medicare Physical Therapist in Fort Defiance, AZ