Mr Damion D Rodeback, PA-C is a medicare enrolled "Physician Assistant" physician in St George, Utah. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Springville Dermatology And Diagnostics Pc and his current practice location is
1449 N 1400 W Ste 22, St George, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 703-9296.
Mr Damion D Rodeback is licensed to practice in Utah (license number 65833191206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083069793.
Physician's Profile
| Full Name | Mr Damion D Rodeback |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 1449 N 1400 W Ste 22, St George, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Damion D Rodeback graduated from medical school in 2016
NPI Data:
- NPI Number: 1083069793
- Provider Enumeration Date: 05/01/2016
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486940814
- Enrollment ID: I20221114002435
Medical Identifiers
Medical identifiers for Mr Damion D Rodeback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083069793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 54658 (California) | Secondary |
| 363A00000X | Physician Assistant | 54658 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA60677483 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 65833191206 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Springville Dermatology And Diagnostics Pc | 5991930406 | 5 |
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. Mr Damion D Rodeback 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 |
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Mr Damion D Rodeback, PA-C
732 N Main St,
Springville, UT 84663-1034
Ph: (801) 704-7001 | Mr Damion D Rodeback, PA-C
1449 N 1400 W Ste 22,
St George, UT 84770-5237
Ph: (435) 703-9296 |
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