Dr Cynthia Dah, DNP-FNP-C, RN is a medicare enrolled "Nurse Practitioner - Family" in Shonto, Arizona. Her current practice location is
Hwy 98 Navajo Route 16, Shonto, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 672-3000.
Dr Cynthia Dah is licensed to practice in New Mexico (license number 55771) 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 1144613308.
Provider's Profile
Full Name | Dr Cynthia Dah |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | Hwy 98 Navajo Route 16, Shonto, Arizona |
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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: 1144613308
- Provider Enumeration Date: 03/12/2015
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486188604
- Enrollment ID: I20241111003667
Medical Identifiers
Medical identifiers for Dr Cynthia Dah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144613308 | NPI | - | NPPES |
020529 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 782837 (California) | Secondary |
163W00000X | Registered Nurse | 4704261309 (Michigan) | Secondary |
163W00000X | Registered Nurse | 613142 (New York) | Secondary |
163W00000X | Registered Nurse | 041416245 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704261309 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 55771 (New Mexico) | Primary |
163W00000X | Registered Nurse | 55771 (New Mexico) | Secondary |
163W00000X | Registered Nurse | 224123 (Alaska) | Secondary |
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. Dr Cynthia Dah allows following entities to bill medicare on her behalf.
Entity Name | Kayenta Alternative Rural Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
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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. Dr Cynthia Dah 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 |
Dr Cynthia Dah, DNP-FNP-C, RN 317 N Harrison St, Berrien Springs, MI 49103-1004 Ph: (269) 815-0330 | Dr Cynthia Dah, DNP-FNP-C, RN Hwy 98 Navajo Route 16, Shonto, AZ 86054 Ph: (928) 672-3000 |
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