Mr Dallen M Johnson, CAA MSA in Rio Rancho, NM - Medicare Anesthesiology Assistant

Mr Dallen M Johnson, CAA MSA is a medicare enrolled "Anesthesiologist Assistant" in Rio Rancho, New Mexico. He went to Medical College Of Wisconsin and graduated in 2020 and has 4 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice University Of Utah Adult Services and his current practice location is 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at (385) 278-9148.

Mr Dallen M Johnson is licensed to practice in New Mexico (license number AA2024-0001) 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 1629322151.

Contact Information

	Mr Dallen M Johnson, CAA MSA
	3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100
	(385) 278-9148
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dallen M Johnson
Gender	Male
Speciality	Anesthesiology Assistant
Experience	4 Years
Location	3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dallen M Johnson attended and graduated from Medical College Of Wisconsin in 2020

NPI Data:

NPI Number: 1629322151
Provider Enumeration Date: 11/06/2012
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0042629834
Enrollment ID: I20231220000808

Medical Identifiers

Medical identifiers for Mr Dallen M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629322151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	AA2024-0001 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435

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. Mr Dallen M Johnson allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Dallen M Johnson 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 Dallen M Johnson, CAA MSA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Mr Dallen M Johnson, CAA MSA 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 Ph: (385) 278-9148

Mr Dallen M Johnson, CAA MSA - Medicare Anesthesiology Assistant in Rio Rancho, NM