Dallas Stevens, - Medicare Optometrist in Rexburg, ID

Dallas Stevens, is a medicare enrolled "Optometrist" provider in Rexburg, Idaho. He went to Pacific Medical College and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Luke A. Randall Pllc and his current practice location is 1232 Pleasantview, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 709-7314.

Dallas Stevens is licensed to practice in Idaho (license number ODP-100186) 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 1174775332.

Contact Information

Dallas Stevens,
1232 Pleasantview,
Rexburg, ID 83440-5316
(208) 709-7314
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDallas Stevens
GenderMale
SpecialityOptometry
Experience15 Years
Location1232 Pleasantview, Rexburg, Idaho
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 Stevens attended and graduated from Pacific Medical College in 2009
  NPI Data:
  • NPI Number: 1174775332
  • Provider Enumeration Date: 10/21/2008
  • Last Update Date: 05/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597818120
  • Enrollment ID: I20090729000936

Medical Identifiers

Medical identifiers for Dallas Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174775332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP-100186 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Luke A. Randall Pllc23656233112

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 Stevens allows following entities to bill medicare on his behalf.
Provider NameLuke A. Randall Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184925737
PECOS PAC ID: 2365623311
Enrollment ID: O20110223000728

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 Stevens 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 Stevens,
4255 W Sugarberry Ct,
Eagle, ID 83616-7266

Ph: (208) 709-7314
Dallas Stevens,
1232 Pleasantview,
Rexburg, ID 83440-5316

Ph: (208) 709-7314

Reviews and Comments


Optometrist in Rexburg, ID

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Dr. Dallin Heiner, O.D.
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Phone: 208-359-1880    Fax: 208-359-2025

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.