DALE PHILLIP GREYSLAK (PAC) – Physician Assistant, NPI 1669648754

DALE PHILLIP GREYSLAK (PAC) is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA9104508 (FL). The NPI Number for DALE PHILLIP GREYSLAK (PAC) is 1669648754

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DALE PHILLIP GREYSLAK (PAC)
NPI
1669648754
Phone
(407) 451-0192
Address
2100 N WICKHAM RD
Enumeration Date
8 May 2008
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213031350
Graduation Year
2007 (19 years ago)
PAC ID
2860569944
Professional Enrollment ID
I20080916000550
Address ID
FL32903XXXXINXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DALE PHILLIP GREYSLAK (PAC)

  • 2100, North Wickham Road, Melbourne, Brevard County, Florida, 32935, United States

    MELBOURNE, FL 329358110

    Phone: (407) 451-0192

    Type: Mailing

  • 2194 Highway A1A Ste 106

    Indian Harbour Beach, FL 329374955

    Phone: (321) 794-5095

    Type: Location

  • PO BOX 410185

    MELBOURNE, FL 329410185

    Phone: (407) 451-0192

    Type: Mailing

  • 3491 TITANIC CIR

    INDIALANTIC, FL 329031871

    Phone: (407) 451-0192

    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: 2008-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080916000550IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee3030$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement2120$0
23472Prosthetic repair of shoulder joint, total shoulder1616$0
27130Replacement of thigh bone and hip joint with prosthesis1414$0
27245Treatment of broken neck of thigh bone with bone implant1414$0
View full utilization report →

Insurance plans in this area (ZIP 32935)

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Provider's Procedures

DALE PHILLIP GREYSLAK (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL27447Repair of knee joint2626

Reviews

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Frequently asked questions

What is the 10-digit NPI for DALE PHILLIP GREYSLAK (PAC)?
DALE PHILLIP GREYSLAK (PAC) — NPI 1669648754 — is the standard way to identify this listing.
Does the file indicate DALE PHILLIP GREYSLAK (PAC) is practicing under active NPI?
Directory data currently reports DALE PHILLIP GREYSLAK (PAC) as active.
What healthcare role does DALE PHILLIP GREYSLAK (PAC) hold?
Scheduling teams often label DALE PHILLIP GREYSLAK (PAC) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does DALE PHILLIP GREYSLAK (PAC) list a practice location?
Patients near Melbourne, Florida may find DALE PHILLIP GREYSLAK (PAC) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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