| Dr Brandon Alan Dyer, MD | |
|
10745 Double R Blvd, Reno, NV 89521-8979 | |
| (775) 322-7811 | |
| (775) 322-1431 |
| Full Name | Dr Brandon Alan Dyer |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 12 Years |
| Location | 10745 Double R Blvd, Reno, Nevada |
| 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 |
|---|---|---|---|
| 1295155968 | NPI | - | NPPES |
| 1295155968 | Medicaid | WA | |
| 250042967 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD60935619 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 718 |
| Legacy Salmon Creek Hospital | 0446295711 | 313 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Alan Dyer, MD Po Box 848394, Los Angeles, CA 90084-8394 Ph: (775) 322-7811 | Dr Brandon Alan Dyer, MD 10745 Double R Blvd, Reno, NV 89521-8979 Ph: (775) 322-7811 |
Nicholas Rose, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-327-5174 Fax: 775-982-3900 | |
Mr. Jonathan Tay, MD Radiology Medicare: Medicare Enrolled Practice Location: 6630 B S Mccarran, Rad Onc Assoc #18, Reno, NV 89509 Phone: 775-823-1990 Fax: 775-823-1974 | |
Julie A Locken, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-4160 Fax: 775-823-1966 | |
Dr. Abhinand Venkata Peddada, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-4000 Fax: 775-982-5639 | |
Dr. Guy Cleage Jones, MD. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10745 Double R Blvd # 13, Reno, NV 89521 Phone: 775-322-7811 | |
George A Krakora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-4160 Fax: 775-823-1966 | |
Stephen S Tsung, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-4160 Fax: 775-823-1966 |