Mr Devon E Dahlke, PA-C is a medicare enrolled "Physician Assistant" physician in Logan, Utah. 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 |
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| Speciality | |
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| Experience | Years |
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| Location | 630 E 1400 N Ste 150, Logan, 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 Devon E Dahlke attended and graduated from in
NPI Data:
- NPI Number: 1598866691
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 12/01/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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