MARK WILLIAM VAN DYKE DO
NPI 1407906613
Internal Medicine - Addiction Medicine in Erie, PA

Active since January 11, 2007PECOS Enrolled
306 W 11TH ST 2ND FL, ERIE, PA 16501(814) 240-6216(814) 240-6219 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2018, Mar 27, 2018, Oct 19, 2016 and 1 more (4 updates tracked since 2016).

About Mark William Van Dyke Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WILLIAM VAN DYKE DO (NPI 1407906613) is an individual addiction medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS006067E) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407906613
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameMARK WILLIAM VAN DYKECredential: DO
Location Address306 W 11TH ST 2ND FLErie, PA 16501-1705
Mailing Address306 W 11th St, 2nd FloorErie, PA 16501-1746 · (814) 240-6216 · Fax (814) 240-6219
Fax(814) 240-6219
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 10, 20184 updates tracked since enumeration
NPI 1407906613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in PA · OS006067E
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License OS006067E (PA)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License OS006067E (PA)
306 W 11TH ST 2ND FL, Erie, PA 16501

Other Identifiers 1

Medicaid0011147300006PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mark William Van Dyke Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407906613, enumerated as an "individual" on January 11, 2007.

The provider is located at 306 W 11TH ST 2ND FL ERIE, PA 16501 and the phone number is (814) 240-6216.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.