Dallas Lane Earnshaw, APRN, CNS, BC - Medicare Nurse Practitioner in Provo, UT

Dallas Lane Earnshaw, APRN, CNS, BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Provo, Utah. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wasatch Behavioral Health Special Service District and his current practice location is 750 N Freedom Blvd, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-4760.

Dallas Lane Earnshaw is licensed to practice in Utah (license number 212165-4405) 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 1780777649.

Contact Information

Dallas Lane Earnshaw, APRN, CNS, BC
750 N Freedom Blvd,
Provo, UT 84601-1677
(801) 373-4760
Not Available

Map and Direction




Provider's Profile

Full NameDallas Lane Earnshaw
GenderMale
SpecialityNurse Practitioner
Experience26 Years
Location750 N Freedom Blvd, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dallas Lane Earnshaw graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1780777649
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9032148994
  • Enrollment ID: I20050810001103

Medical Identifiers

Medical identifiers for Dallas Lane Earnshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780777649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 212165-4405 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wasatch Behavioral Health Special Service District256736791573

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. Dallas Lane Earnshaw allows following entities to bill medicare on his behalf.
Entity NameWasatch Behavioral Health Special Service District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356357115
PECOS PAC ID: 2567367915
Enrollment ID: O20031129000014

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 Lane Earnshaw 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 AddressPractice Location Address
Dallas Lane Earnshaw, APRN, CNS, BC
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 373-4760
Dallas Lane Earnshaw, APRN, CNS, BC
750 N Freedom Blvd,
Provo, UT 84601-1677

Ph: (801) 373-4760

Reviews and Comments


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Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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