Dr Kevin Richard Dorsey-tyler, MD, PHD is a
Colon & Rectal Surgery physician based in Chico, California. Dr Kevin Richard Dorsey-tyler is licensed to practice in California (license number C50630) and his current practice location is 2 Governors Ln, Suite A, Chico, California. He can be reached at his office (for appointments etc.) via phone at
(530) 891-4523.
NPI number for Dr Kevin Richard Dorsey-tyler is 1366541849 and his current mailing address is 2 Governors Ln, Suite A, Chico, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366541849.
Physician's Profile
| Full Name | Dr Kevin Richard Dorsey-tyler |
|---|
| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 2 Governors Ln, Chico, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366541849
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 09/10/2011
Medical Identifiers
Medical identifiers for Dr Kevin Richard Dorsey-tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366541849 | NPI | - | NPPES |
| 00C506300 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | C50630 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | C50630 (California) | Primary |
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 Kevin Richard Dorsey-tyler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Richard Dorsey-tyler, MD, PHD
2 Governors Ln, Suite A,
Chico, CA 95926-1988
Ph: (530) 891-4523 | Dr Kevin Richard Dorsey-tyler, MD, PHD
2 Governors Ln, Suite A,
Chico, CA 95926-1988
Ph: (530) 891-4523 |
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