Mr Ethan Tyler Dungan, is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Birmingham, Alabama. 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.
Physician's Profile
Full Name | Mr Ethan Tyler Dungan |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1802 6th Ave S, Birmingham, Alabama |
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Accepts Medicare Assignments | Yes. 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 attended and graduated from in
NPI Data:
- NPI Number: 1255994588
- Provider Enumeration Date: 04/22/2019
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Ethan Tyler Dungan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255994588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0200X | Internal Medicine - Infectious Disease | 1-149801 (Alabama) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 1-149801 (Alabama) | 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. 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 Address | Practice 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 |
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