Mr Ethan Tyler Dungan, - Medicare Nurse Practitioner in Birmingham, AL

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Mr Ethan Tyler Dungan, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Birmingham, Alabama. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Alabama Health Services Foundation, Pc and his current practice location is 1802 6th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 996-5111.

Mr Ethan Tyler Dungan is licensed to practice in Alabama (license number 1-149801) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255994588.

Contact Information

Mr Ethan Tyler Dungan,
1802 6th Ave S,
Birmingham, AL 35233-1932
(205) 996-5111
Not Available

Map and Direction




Physician's Profile

Full NameMr Ethan Tyler Dungan
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location1802 6th Ave S, Birmingham, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ethan Tyler Dungan graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1255994588
  • Provider Enumeration Date: 04/22/2019
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375876279
  • Enrollment ID: I20190607002093

Medical Identifiers

Medical identifiers for Mr Ethan Tyler Dungan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255994588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 1-149801 (Alabama)Secondary
363LA2100XNurse Practitioner - Acute Care 1-149801 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Alabama HospitalBirmingham, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Alabama Health Services Foundation, Pc19512131072328

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. Mr Ethan Tyler Dungan allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261
Entity NameUniversity Of Alabama At Birmingham
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184738478
PECOS PAC ID: 3779487970
Enrollment ID: O20031120000323

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. Mr Ethan Tyler Dungan 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
Mr Ethan Tyler Dungan,
918 Cahaba River Parc,
Birmingham, AL 35243-3264

Ph: (334) 467-0124		Mr Ethan Tyler Dungan,
1802 6th Ave S,
Birmingham, AL 35233-1932

Ph: (205) 996-5111

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.