Dr Everett Brantley Dyer, MD is a medicare enrolled "Pediatrics" physician in Cameron Park, California. His current practice location is
3427 Robin Ln, Suite 100, Cameron Park, California. You can reach out to his office (for appointments etc.) via phone at
(530) 676-7337.
Dr Everett Brantley Dyer is licensed to practice in California (license number G65725) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184654030.
Physician's Profile
Full Name | Dr Everett Brantley Dyer |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 3427 Robin Ln, Cameron Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184654030
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698851434
- Enrollment ID: I20090924000407
Medical Identifiers
Medical identifiers for Dr Everett Brantley Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184654030 | NPI | - | NPPES |
00G657250 | Other | CA | LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | G65725 (California) | 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. Dr Everett Brantley Dyer allows following entities to bill medicare on his behalf.
Entity Name | Dignity Health Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
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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. Dr Everett Brantley 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 |
Dr Everett Brantley Dyer, MD 3400 Data Dr, Physician Support Services, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Everett Brantley Dyer, MD 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 Ph: (530) 676-7337 |
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