Dallas Prockl, RN in Madison, WI - Medicare Nurse Practitioner

Dallas Prockl, RN is a medicare enrolled "Nurse Practitioner" in Madison, Wisconsin. His current practice location is 752 N High Point Rd, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 824-4000.

Dallas Prockl is licensed to practice in Wisconsin (license number 15423-30) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316531254.

Contact Information

	Dallas Prockl, RN
	752 N High Point Rd, Madison, WI 53717-2236
	(608) 824-4000
	(608) 824-4938

Map and Direction

Provider's Profile

Full Name	Dallas Prockl
Gender	Male
Speciality	Nurse Practitioner
Location	752 N High Point Rd, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316531254
Provider Enumeration Date: 02/22/2021
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4082148697
Enrollment ID: I20241105001741

Medical Identifiers

Medical identifiers for Dallas Prockl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316531254	NPI	-	NPPES
1316531254	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	241852 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	15423 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	15423-30 (Wisconsin)	Primary

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 Prockl allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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 Prockl 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
Dallas Prockl, RN 752 N High Point Rd, Madison, WI 53717-2236 Ph: (608) 824-4000	Dallas Prockl, RN 752 N High Point Rd, Madison, WI 53717-2236 Ph: (608) 824-4000

Reviews and Comments

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Dallas Prockl, RN - Medicare Nurse Practitioner in Madison, WI