Dane Alexander Pernot, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Apo, Armed Forces Americas. His current practice location is
4076 Neely Rd, Apo, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at
(907) 361-5172.
Dane Alexander Pernot is licensed to practice in Nebraska (license number 2260) 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 1801351457.
Physician's Profile
Full Name | Dane Alexander Pernot |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 4076 Neely Rd, Apo, Armed Forces Americas |
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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: 1801351457
- Provider Enumeration Date: 02/07/2019
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870990377
- Enrollment ID: I20210927001442
Medical Identifiers
Medical identifiers for Dane Alexander Pernot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801351457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | OP61538446 (Washington) | Secondary |
208D00000X | General Practice | 2260 (Nebraska) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2260 (Nebraska) | 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. Dane Alexander Pernot 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 |
Dane Alexander Pernot, DO 4076 Neely Rd, Fort Wainwright, AK 99703 Ph: (073) 615-1729 | Dane Alexander Pernot, DO 4076 Neely Rd, Apo, AA 99703 Ph: (907) 361-5172 |
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