Dallas Michael Smuin, MD is a medicare enrolled "Orthopaedic Surgery" physician in Roosevelt, Utah. His current practice location is
250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 722-4691.
Dallas Michael Smuin is licensed to practice in Utah (license number 8101734-1205) 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 1659862555.
Physician's Profile
Full Name | Dallas Michael Smuin |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 250 W 300 N, Roosevelt, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659862555
- Provider Enumeration Date: 05/25/2018
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345609764
- Enrollment ID: I20230703002400
Medical Identifiers
Medical identifiers for Dallas Michael Smuin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659862555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | MT215025 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | MD471072 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | MD2023-0551 (New Mexico) | Secondary |
207X00000X | Orthopaedic Surgery | 8101734-1205 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dallas Michael Smuin allows following entities to bill medicare on his behalf.
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
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Entity Name | Taos Orthopaedic Institute, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538113055 PECOS PAC ID: 5991784548 Enrollment ID: O20040716000492 |
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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. Dallas Michael Smuin 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 |
Dallas Michael Smuin, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-4691 | Dallas Michael Smuin, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-4691 |
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