Crystal Shanelle Dyer, MD in Rogersville, TN

Crystal Shanelle Dyer, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Rogersville, Tennessee. Her current practice location is 850 W Main St Ste 2, Rogersville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 500-0266.

Crystal Shanelle Dyer is licensed to practice in Tennessee (license number 44247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841485018.

Contact Information

	Crystal Shanelle Dyer, MD
	850 W Main St Ste 2, Rogersville, TN 37857-3663
	(423) 500-0266
	(423) 500-4280

Map and Direction

Physician's Profile

Full Name	Crystal Shanelle Dyer
Gender	Female
Speciality	Family Medicine - Sports Medicine
Location	850 W Main St Ste 2, Rogersville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841485018
Provider Enumeration Date: 09/11/2007
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7012054448
Enrollment ID: I20091016000358

Medical Identifiers

Medical identifiers for Crystal Shanelle Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841485018	NPI	-	NPPES
44247	Other	TN	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	0101247662 (Virginia)	Secondary
207QS0010X	Family Medicine - Sports Medicine	44247 (Tennessee)	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. Crystal Shanelle Dyer allows following entities to bill medicare on her behalf.

Entity Name	Takoma Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699819003 PECOS PAC ID: 8729189295 Enrollment ID: O20070727000394

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. Crystal Shanelle Dyer 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 Address	Practice Location Address
Crystal Shanelle Dyer, MD 850 W Main St Ste 2, Rogersville, TN 37857-3663 Ph: (423) 500-0266	Crystal Shanelle Dyer, MD 850 W Main St Ste 2, Rogersville, TN 37857-3663 Ph: (423) 500-0266

Reviews and Comments

Family Medicine Doctors in Rogersville, TN

Dr. Blaine Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Scenic Dr, Rogersville, TN 37857 Phone: 423-272-2111 Fax: 423-272-7667
Amanda A Dove, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Scenic Dr, Rogersville, TN 37857 Phone: 423-272-2111 Fax: 423-272-7667
Mrs. Karen Angela Hobbs, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Knights I, Rogersville, TN 37857 Phone: 865-712-9089
Omar R. Kassem, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4307 Highway 66 S, Rogersville, TN 37857 Phone: 423-921-1600 Fax: 423-921-6920
Jack K Heath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Rogersville Medical Complex, 4307 Highway 66 S, Rogersville, TN 37857 Phone: 423-921-1600 Fax: 423-921-1681
Crystal L Stiltner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Scenic Dr Ste B, Rogersville, TN 37857 Phone: 423-272-2111 Fax: 423-272-7667
Connie A Manz Hinkle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Locust St, Rogersville, TN 37857 Phone: 423-272-2671 Fax: 423-921-7067

Crystal Shanelle Dyer, MD - Medicare Family Medicine in Rogersville, TN