Dale Vander Broek, DO - Medicare Internal Medicine in Pella, IA

Dale Vander Broek, DO is a medicare enrolled "Internal Medicine" physician in Pella, Iowa. His current practice location is 2 Deer Run Dr, Pella, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 780-1202.

Dale Vander Broek is licensed to practice in Iowa (license number 02411) 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 1386613990.

Contact Information

Dale Vander Broek, DO
2 Deer Run Dr,
Pella, IA 50219-1356
(641) 780-1202
Not Available



Physician's Profile

Full NameDale Vander Broek
GenderMale
SpecialityInternal Medicine
Location2 Deer Run Dr, Pella, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386613990
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 05/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2466586110
  • Enrollment ID: I20100817000358

Medical Identifiers

Medical identifiers for Dale Vander Broek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386613990NPI-NPPES
110128512OtherIARAILROAD MEDICARE
2067256MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 02411 (Iowa)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. Dale Vander Broek allows following entities to bill medicare on his behalf.
Entity NameKnoxville Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770591661
PECOS PAC ID: 6608787056
Enrollment ID: O20031119000804

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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. Dale Vander Broek 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
Dale Vander Broek, DO
2 Deer Run Dr,
Pella, IA 50219-1356

Ph: (641) 780-1202
Dale Vander Broek, DO
2 Deer Run Dr,
Pella, IA 50219-1356

Ph: (641) 780-1202

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Internal Medicine Doctors in Pella, IA

Mrs. Ruth Kernyuy Bame Mome, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-628-6610    
Dr. Ronald R. Childerston, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-621-2200    Fax: 641-621-2335
Dr. Shelby Dames, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-620-2021    Fax: 641-620-2020
David Daining, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-628-3832    Fax: 641-628-8901
Dr. Don Xuan Nguyen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 404 Jefferson St, Pella, IA 50219
Phone: 641-628-6610    Fax: 641-620-5593
Dr. Stewart Douglas Kanis, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Monroe St, Pella, IA 50219
Phone: 641-628-3832    Fax: 641-628-8894

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