Dakota Albert Dalton, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fort Worth, Texas. His current practice location is
900 8th Ave Ste 220, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 992-6158.
Dakota Albert Dalton is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861141251.
Physician's Profile
| Full Name | Dakota Albert Dalton |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 900 8th Ave Ste 220, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861141251
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 04/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840671053
- Enrollment ID: I20220719004007
Medical Identifiers
Medical identifiers for Dakota Albert Dalton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861141251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | U9887 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dakota Albert Dalton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dakota Albert Dalton,
900 8th Ave Ste 220,
Fort Worth, TX 76104-3902
Ph: () - | Dakota Albert Dalton,
900 8th Ave Ste 220,
Fort Worth, TX 76104-3902
Ph: (817) 992-6158 |
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