Mr Devon E Dahlke, PA-C is a medicare enrolled "Physician Assistant" physician in Logan, Utah. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sterling Provider Group, Sterling Provider Group and his current practice location is
630 E 1400 N Ste 150, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 915-4465.
Mr Devon E Dahlke is licensed to practice in * (Not Available) (license number ) 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 1598866691.
Physician's Profile
| Full Name | Mr Devon E Dahlke |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 20 Years |
|---|
| Location | 630 E 1400 N Ste 150, Logan, Utah |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Devon E Dahlke graduated from medical school in 2004
NPI Data:
- NPI Number: 1598866691
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032167671
- Enrollment ID: I20050110001048
Medical Identifiers
Medical identifiers for Mr Devon E Dahlke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598866691 | NPI | - | NPPES |
| $$$$$$$$$ | Other | UT | CHAMPUS |
| 1598866691 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 5703274-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sterling Provider Group | 2264773373 | 57 |
| Sterling Provider Group | 2264773373 | 57 |
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 Devon E Dahlke 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 |
|---|
Mr Devon E Dahlke, PA-C
740 S Woodruff Ave,
Idaho Falls, ID 83401-5285
Ph: (208) 542-9111 | Mr Devon E Dahlke, PA-C
630 E 1400 N Ste 150,
Logan, UT 84341-2549
Ph: (435) 915-4465 |
Reviews and Comments