Dr Edward Alexander Dyer, MD | |
1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 | |
(503) 413-8988 | |
(503) 413-5629 |
Full Name | Dr Edward Alexander Dyer |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 19 Years |
Location | 1130 Nw 22nd Ave Ste 220, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760601694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | LL15488 (Oregon) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | MD28675 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
Ascension St John Broken Arrow | Broken arrow, OK | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
St John Medical Center, Inc | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 603 |
Hospitalist Medicine Physicians Of Oklahoma-tcg, Llc | 7214349208 | 14 |
Critical Care Physicians Of Illinois Llc | 7012179294 | 43 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Sound Physicians Intensivists Of Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528582699 PECOS PAC ID: 5395018808 Enrollment ID: O20211101000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Alexander Dyer, MD 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 Ph: (503) 413-8988 | Dr Edward Alexander Dyer, MD 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 Ph: (503) 413-8988 |
Salona Shrestha, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 | |
Dr. Emmanuel Trungtoan Tavan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 | |
Ginevra Lois Liptan, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 | |
Donald Richard Sullivan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 | |
Dr. Victor Nguyen Pham, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 | |
Richa Uppal, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697 | |
Reem Hasan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |