MR. SAMUEL G DYSTE P.A.
NPI 1902098395
Physician Assistant - Medical in East Jordan, MI

Q: What is Samuel Dyste's NPI number?

The NPI number for Samuel Dyste is 1902098395. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Q: What is Samuel Dyste's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Dyste was last updated on August 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 10, 2007PECOS Enrolled

601 BRIDGE ST, EAST JORDAN, MI 49727(231) 536-2206(231) 536-9864 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Samuel G Dyste P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL G DYSTE P.A. (NPI 1902098395) is an individual medical provider in East Jordan, Michigan, licensed in Michigan (5601005079) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902098395

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SAMUEL G DYSTECredential: P.A.

Location Address601 BRIDGE STEast Jordan, MI 49727-9383

Mailing Address601 Bridge StEast Jordan, MI 49727-9383 · (231) 536-2206 · Fax (231) 536-9864

Phone(231) 536-2206

Fax(231) 536-9864

Sole ProprietorNo

Enumeration DateAugust 10, 2007

✔ NPI 1902098395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601005079

601 BRIDGE ST, East Jordan, MI 49727

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Other Identifiers 1

Medicare PIN231803MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel G Dyste P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers27 claims86 services$5.07 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims21 services$0.84 avg. paid by Medicare

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims1,650 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier11 claims1,650 services$1.76 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers38 claims38 services$14.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers86 claims86 services$106.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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