Renee Lynn Dallas, CRNP is a
Nurse Practitioner - Primary Care based in 680 Blair Mill Road, Pennsylvania. Renee Lynn Dallas is licensed to practice in Pennsylvania (license number RN667379) and her current practice location is
Optum Care Services Company, 680 Blair Mill Road, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(999) 999-9999.
NPI number for Renee Lynn Dallas is 1386412617 and her current mailing address is 5101 Highland Park Ave, Altoona, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386412617.
Provider's Profile
Full Name | Renee Lynn Dallas |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Primary Care |
---|
Location | Optum Care Services Company, 680 Blair Mill Road, Pennsylvania |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386412617
- Provider Enumeration Date: 12/15/2023
- Last Update Date: 12/15/2023
Medical Identifiers
Medical identifiers for Renee Lynn Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386412617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | RN667379 (Pennsylvania) | 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. Renee Lynn Dallas 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 |
Renee Lynn Dallas, CRNP 5101 Highland Park Ave, Altoona, PA 16602-1440 Ph: (814) 935-1314 | Renee Lynn Dallas, CRNP Optum Care Services Company, 680 Blair Mill Road, PA 19044 Ph: (999) 999-9999 |
Reviews and Comments