| Bruce E Dyer Sr, APN | |
|
1508 Tombras Ave, East Ridge, TN 37412-2720 | |
| (423) 867-4969 | |
| (423) 867-4971 |
| Full Name | Bruce E Dyer Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 1508 Tombras Ave, East Ridge, Tennessee |
| 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 |
|---|---|---|---|
| 1417187626 | NPI | - | NPPES |
| Q031640 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 14248 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Your Good Health, Llc | 3173615838 | 14 |
| Entity Name | Your Good Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386864296 PECOS PAC ID: 3173615838 Enrollment ID: O20070825000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce E Dyer Sr, APN 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 | Bruce E Dyer Sr, APN 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969 |
Chelsea Lane Gondek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 961 Spring Creek Rd Ste 300, East Ridge, TN 37412 Phone: 423-839-9787 | |
Ms. Anne Rebecca Neumann, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Amin Sohani, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Marcile Helen Leaf, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Ms. Ardyce Jane Ridolfo, MSN,D.PHIL, GNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tombras Avenue, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Amy Dawn Latham, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Holly Dawn Walker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 |