Dale Phillip Greyslak, PAC
NPI 1669648754ActiveIndividual· Physician Assistant· Indialantic, FL
Physician Assistant (PAC) in Indialantic, Florida, licensed in FL, with an NPI issued in May 2008. Medicare paid $34,120 for services to 195 patients in 2024. Lists Cape Canaveral Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1669648754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | Yes |
| NPI issued | May 8, 2008 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9104508 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 195 |
|---|---|
| Services billed | 412 across 75 procedure codes |
| Paid by Medicare | $34,120 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliations
- Cape Canaveral HospitalCocoa Beach, FL
- Holmes Regional Medical CenterMelbourne, FL
- Orlando Health Melbourne HospitalMelbourne, FL
- Viera HospitalMelbourne, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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