Dallas Cottam, RN is a
Registered Nurse - School based in Mountain View, Wyoming. Dallas Cottam is licensed to practice in Wyoming (license number 20583) and her current practice location is
129 W Second St, Mountain View, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 782-3377.
NPI number for Dallas Cottam is 1104549039 and her current mailing address is Po Box 130, Mountain View, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104549039.
Provider's Profile
| Full Name | Dallas Cottam |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - School |
|---|
| Location | 129 W Second St, Mountain View, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104549039
- Provider Enumeration Date: 09/26/2022
- Last Update Date: 09/26/2022
Medical Identifiers
Medical identifiers for Dallas Cottam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104549039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WS0200X | Registered Nurse - School | 20583 (Wyoming) | 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. Dallas Cottam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dallas Cottam, RN
Po Box 130,
Mountain View, WY 82939-0130
Ph: (307) 782-3377 | Dallas Cottam, RN
129 W Second St,
Mountain View, WY 82939
Ph: (307) 782-3377 |
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