| Tyler Elliott Dial, PA-C | |
|
923 W 3rd St, Pembroke, NC 28372-9628 | |
| (910) 521-0564 | |
| (910) 521-8091 |
| Full Name | Tyler Elliott Dial |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 923 W 3rd St, Pembroke, North Carolina |
| 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 |
|---|---|---|---|
| 1689172868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07818 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Precision Health, Pc | 6709260185 | 4 |
| Entity Name | Southeastern Regional Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
| Entity Name | Precision Health, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396484572 PECOS PAC ID: 6709260185 Enrollment ID: O20220902001539 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Elliott Dial, PA-C 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 Ph: (910) 272-3048 | Tyler Elliott Dial, PA-C 923 W 3rd St, Pembroke, NC 28372-9628 Ph: (910) 521-0564 |
Mr. Tamim A Alsaedi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 923 West 3rd St., Pembroke, NC 28372 Phone: 910-522-8888 |
Alex Jonathan Sanderson, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 307 East Wardell Drive, Pembroke, NC 28372 Phone: 910-521-2816 Fax: 910-521-3583 |
Hanna Elizabeth Bullard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 812 Candy Park Rd, Pembroke, NC 28372 Phone: 910-521-0201 Fax: 910-521-0773 |
Kayla Jacobs, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 812 Candy Park Rd, Pembroke, NC 28372 Phone: 910-521-0201 |
Mr. Shannon Leslie Hershberger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 923 W 3rd St, Pembroke, NC 28372 Phone: 910-521-0564 |
Cari Susann Mayers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 307 E Wardell Dr, Pembroke, NC 28372 Phone: 910-521-2816 Fax: 910-521-3583 |
Mrs. Suzette Renee Oxendine, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 E 3rd St Ste 4, Pembroke, NC 28372 Phone: 910-775-9019 Fax: 910-877-0740 |