Dr Kenneth Britt Dyer, DNP, PMHNP-BC in Mountlake Terrace, WA

Dr Kenneth Britt Dyer, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mountlake Terrace, Washington. His current practice location is 21907 64th Ave W Ste 200, Mountlake Terrace, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 640-7009.

Dr Kenneth Britt Dyer is licensed to practice in Washington (license number AP60863385) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790270296.

Contact Information

	Dr Kenneth Britt Dyer, DNP, PMHNP-BC
	21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200
	(425) 640-7009
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kenneth Britt Dyer
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	21907 64th Ave W Ste 200, Mountlake Terrace, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790270296
Provider Enumeration Date: 06/27/2018
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6901153030
Enrollment ID: I20180720001646

Medical Identifiers

Medical identifiers for Dr Kenneth Britt Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790270296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60076562 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP60863385 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60863385 (Washington)	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. Dr Kenneth Britt Dyer allows following entities to bill medicare on his behalf.

Entity Name	Shifa Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356415327 PECOS PAC ID: 9638070501 Enrollment ID: O20040115000310

Entity Name	Providence Health & Services-wa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336390442 PECOS PAC ID: 0648330787 Enrollment ID: O20090106000737

Entity Name	Eleanor Health Professional Wa Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043827132 PECOS PAC ID: 2365855210 Enrollment ID: O20210113002320

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 Kenneth Britt Dyer 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
Dr Kenneth Britt Dyer, DNP, PMHNP-BC 10333 19th Ave, Se, S #109, S #109, Everett, WA 98208 Ph: (425) 742-4600	Dr Kenneth Britt Dyer, DNP, PMHNP-BC 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043-6200 Ph: (425) 640-7009

Reviews and Comments

Nurse Practitioner Nurses in Mountlake Terrace, WA

Mr. Etienne Clement Poufong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 - Mountlake Terrace, Mountlake Terrace, WA 98043 Phone: 469-321-9543
Christina Lynn Gelder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 219th St Sw Ste 370, Mountlake Terrace, WA 98043 Phone: 888-777-1945 Fax: 805-413-9099
Van Ngoc Tran, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6007 244th St Sw Ste B, Mountlake Terrace, WA 98043 Phone: 425-640-4830
Allison Carole Cothern, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 205-955-0203
Dr. Iman M Yunis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 470-966-0299
Mr. Chad Lawrence Jacobs, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 317-695-8041
Adam D Barnett, DOCTOR OF NURSING PR Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 512-537-7308

Dr Kenneth Britt Dyer, DNP, PMHNP-BC - Medicare Nurse Practitioner in Mountlake Terrace, WA