Elizabeth Deibert Dryden, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03000 Issued in NC

Practice address

2115 Neuse Blvd
New Bern, NC 28560-4309

Phone

(252) 633-4461

NPI assigned

Sep 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Dermatology PAGroup PAC ID 2860478542, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edryden@easterndermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Dermatology, P.a.

  • Dermatology Physician
  • Greenville, NC
  • NPI 1598759482
  Medicare reassignment Care Compare group
• Eastern Dermatology PA

  • Dermatology Physician
  • Edenton, NC
  • NPI 1972715241
  NPD
• Eastern Dermatology, PA

  • Dermatology Physician
  • New Bern, NC
  • NPI 1306058672
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1750662946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604309",
            "telephone_number": "252-633-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604309",
            "telephone_number": "252-633-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYDEN",
        "first_name": "ELIZABETH",
        "middle_name": "DEIBERT",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Mark W. Johnson, PA
• James Edwin Drake, MD
• Danielle Jo Draut, COTA/L
• DRS Freshwater and Howdy PA
• Clifford Lee Druml, SLP
• Bianca Duarte Da Silva Maina
• Rebecca Saenz Dubay, M.D.
• Carolyn Lee Duerr, P.T.
• Christina Duffin, FNP-BC
• Alan Joseph Duignan, PA-C

• Physician Assistant in New Bern, NC
• Providers in New Bern, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.