Micaela Jane Dagucon, MD is a medicare enrolled "Otolaryngology" physician in Usaf Academy, Colorado. Her current practice location is
10th Mdg, 4102 Pinon Dr., Usaf Academy, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 333-5142.
Micaela Jane Dagucon is licensed to practice in Virginia (license number 0101257323) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396182234.
Physician's Profile
Full Name | Micaela Jane Dagucon |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | 10th Mdg, Usaf Academy, Colorado |
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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: 1396182234
- Provider Enumeration Date: 06/02/2013
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547613440
- Enrollment ID: I20240126002741
Medical Identifiers
Medical identifiers for Micaela Jane Dagucon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396182234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 0101257323 (Virginia) | 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. Micaela Jane Dagucon allows following entities to bill medicare on her behalf.
Entity Name | Southwest Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
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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. Micaela Jane Dagucon 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 |
Micaela Jane Dagucon, MD 10th Mdg, 4102 Pinon Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-5142 | Micaela Jane Dagucon, MD 10th Mdg, 4102 Pinon Dr., Usaf Academy, CO 80840-2502 Ph: (719) 333-5142 |
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