Mr Dallen M Johnson, CAA MSA is a medicare enrolled "Anesthesiologist Assistant" in Rio Rancho, New Mexico. 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.
Provider's Profile
Full Name | Mr Dallen M Johnson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico |
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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 in
NPI Data:
- NPI Number: 1629322151
- Provider Enumeration Date: 11/06/2012
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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