DR. ANTHONY H DEKKER (DO) – Addiction Medicine (Family Medicine) Physician, NPI 1285744490
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,259 FAMILY PRACTICE in AZ
Provider Addresses for DR. ANTHONY H DEKKER (DO)
200 Lee St
Winslow, AZ 860472603
Phone: (928) 289-3396
Fax: (928) 289-2801
Type: Location
PO BOX 495
FORT BELVOIR COMMUNITY HOSPITAL
FORT BELVOIR, VA 220600495
Phone: (602) 762-1908
Fax: (602) 263-1637
Type: Mailing
1501 N WILLIAMSON AVE
WINSLOW, AZ 860472735
Phone: (928) 289-4691
Fax: (928) 289-0049
Type: Mailing
Phoenix Indian Medical Center, 4212, North 16th Street, Phoenix, Maricopa County, Arizona, 85016, United States
PHOENIX, AZ 850165319
Phone: (602) 762-1908
Fax: (602) 263-1637
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050718000883 | I | Pain Management | TX | TBD |
| I20170712000790 | I | Emergency Medicine | MO | TBD |
| I20251204004688 | I | Family Practice | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Emergency Medicine | AZ | |
| Family Practice | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| P O D I A T R Y | AZ | |
| Family Practice, Emergency Medicine, Family Practice | AZ |
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