Michele A Dyan, MD - Medicare Pediatrics in Brooklyn, NY

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Michele A Dyan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Brooklyn, New York. Her current practice location is 4802 10th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 283-8853.

Michele A Dyan is licensed to practice in New York (license number 183542) 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 1194710202.

Contact Information

Michele A Dyan, MD
4802 10th Ave,
Brooklyn, NY 11219-2844
(718) 283-8853
(718) 635-7235

Map and Direction




Physician's Profile

Full NameMichele A Dyan
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4802 10th Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194710202
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032509906
  • Enrollment ID: I20211208001600

Medical Identifiers

Medical identifiers for Michele A Dyan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194710202NPI-NPPES
183542OtherNYHIP
183542-A15OtherNYHEALTH FIRST
550291OtherNYEMPIRE BCBS
P1010725OtherNYOXFORD HEALTH PLANS
01371140MedicaidNY
2699528OtherNYGHI
BK00944-03OtherNYAMERICHOICE
4C4441OtherNYHEALTH NET
1861255OtherNYUNITED HEALTH CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 183542 (New York)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. Michele A Dyan allows following entities to bill medicare on her behalf.
Entity NameMaimonides Faculty Practice Plan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597
Entity NameMmc Pediatrics Faculty Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285648154
PECOS PAC ID: 0143406918
Enrollment ID: O20110511000496

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. Michele A Dyan 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 AddressPractice Location Address
Michele A Dyan, MD
977 48th St,
Brooklyn, NY 11219-2919

Ph: (718) 283-8015		Michele A Dyan, MD
4802 10th Ave,
Brooklyn, NY 11219-2844

Ph: (718) 283-8853

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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