Dr Everett Brantley Dyer, MD is a
Pediatrics physician based in Cameron Park, California. Dr Everett Brantley Dyer is licensed to practice in California (license number G65725) and his current practice location is 3427 Robin Ln, Suite 100, Cameron Park, California. He can be reached at his office (for appointments etc.) via phone at
(530) 676-7337.
NPI number for Dr Everett Brantley Dyer is 1184654030 and his current mailing address is 3400 Data Dr, Physician Support Services, Rancho Cordova, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184654030.
Physician's Profile
| Full Name | Dr Everett Brantley Dyer |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 3427 Robin Ln, Cameron Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184654030
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Dr Everett Brantley Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184654030 | NPI | - | NPPES |
| 00G657250 | Other | CA | LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | G65725 (California) | 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. Dr Everett Brantley Dyer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Everett Brantley Dyer, MD
3400 Data Dr, Physician Support Services,
Rancho Cordova, CA 95670-7956
Ph: Not Available | Dr Everett Brantley Dyer, MD
3427 Robin Ln, Suite 100,
Cameron Park, CA 95682-7254
Ph: (530) 676-7337 |
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