Divina N Dyer, MD in Carrollton, GA - Medicare Family Practice

Divina N Dyer, MD is a medicare enrolled "Family Medicine" physician in Carrollton, Georgia. She went to Morehouse School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Premise Health Of Georgia Medical Pc and her current practice location is 1128 S Park St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 836-0870.

Divina N Dyer is licensed to practice in Georgia (license number 057161) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285835769.

Contact Information

	Divina N Dyer, MD
	1128 S Park St, Carrollton, GA 30117-4450
	(770) 836-0870
	(770) 836-1873

Map and Direction

Physician's Profile

Full Name	Divina N Dyer
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	1128 S Park St, Carrollton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Divina N Dyer attended and graduated from Morehouse School Of Medicine in 2004

NPI Data:

NPI Number: 1285835769
Provider Enumeration Date: 05/30/2007
Last Update Date: 06/10/2026

Medicare PECOS Information:

PECOS PAC ID: 5698869162
Enrollment ID: I20070915000029

Medical Identifiers

Medical identifiers for Divina N Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285835769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	057161 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premise Health Of Georgia Medical Pc	3274599345	3

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. Divina N Dyer allows following entities to bill medicare on her behalf.

Entity Name	Treken Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588169759 PECOS PAC ID: 0749545127 Enrollment ID: O20180606001250

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. Divina N 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
Divina N Dyer, MD 1128 S Park St, Carrollton, GA 30117-4450 Ph: (770) 836-0870	Divina N Dyer, MD 1128 S Park St, Carrollton, GA 30117-4450 Ph: (770) 836-0870

Reviews and Comments

Family Medicine Doctors in Carrollton, GA

Andrew Chanyang Rho, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153
Dr. Kenneth L Boss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Maple St, Carrollton, GA 30117 Phone: 678-390-7915
Dr. Hermogenes Pagsisihan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Park, Suite 204, Carrollton, GA 30117 Phone: 770-834-3351 Fax: 770-830-1518
Erin Michelle Smith, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831
Kisha Lafleur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832

Divina N Dyer, MD - Medicare Family Practice in Carrollton, GA