Dyan J Summers, DNP, MPH is a medicare enrolled "Nurse Practitioner" in Minnentonka, Minnesota. Her current practice location is
9900 Bren Road East, Mail Route Mn 008-b213, Minnentonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(646) 319-3707.
Dyan J Summers is licensed to practice in Montana (license number 125717) 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 1144406968.
Provider's Profile
Full Name | Dyan J Summers |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 9900 Bren Road East, Minnentonka, Minnesota |
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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: 1144406968
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 04/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789975178
- Enrollment ID: I20160615000138
Medical Identifiers
Medical identifiers for Dyan J Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144406968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 441410-1 (New York) | Secondary |
163WH0200X | Registered Nurse - Home Health | 53753 (Idaho) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 303234 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 53753 (Idaho) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 125717 (Montana) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 14903 (California) | Secondary |
363L00000X | Nurse Practitioner | 125717 (Montana) | 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. Dyan J Summers 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 |
Dyan J Summers, DNP, MPH 749 Linden Pl, Idaho Falls, ID 83401-4966 Ph: (646) 319-3707 | Dyan J Summers, DNP, MPH 9900 Bren Road East, Mail Route Mn 008-b213, Minnentonka, MN 55343 Ph: (646) 319-3707 |
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