Dr Carl Wayne Dasse, MD is a
Family Medicine physician based in Dm Afb, Arizona. Dr Carl Wayne Dasse is licensed to practice in Arizona (license number 6973) and his current practice location is 4175 S Alamo Ave, Dm Afb, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 228-2600.
NPI number for Dr Carl Wayne Dasse is 1063492502 and his current mailing address is 6401 E Shepherd Hls, Tucson, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063492502.
Physician's Profile
| Full Name | Dr Carl Wayne Dasse |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4175 S Alamo Ave, Dm Afb, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063492502
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Carl Wayne Dasse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063492502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 6973 (Arizona) | 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. Dr Carl Wayne Dasse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carl Wayne Dasse, MD
6401 E Shepherd Hls,
Tucson, AZ 85710-1124
Ph: (520) 886-1823 | Dr Carl Wayne Dasse, MD
4175 S Alamo Ave,
Dm Afb, AZ 85707-6097
Ph: (520) 228-2600 |
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