Dane Person, is a medicare enrolled "Physical Therapist" provider in Jal, New Mexico. His current practice location is
310 Continental Drive, Jal, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 395-3400.
Dane Person is licensed to practice in New Mexico (license number PT5374) 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 1114139318.
Healthcare Provider's Profile
| Full Name | Dane Person |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 310 Continental Drive, Jal, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114139318
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709801897
- Enrollment ID: I20240417000836
Medical Identifiers
Medical identifiers for Dane Person such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114139318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT5374 (New Mexico) | Primary |
| 225100000X | Physical Therapist | 9366 (North Carolina) | Secondary |
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. Dane Person allows following entities to bill medicare on his behalf.
| Provider Name | Jal Hospital District |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558583005
PECOS PAC ID: 8729264478
Enrollment ID: O20110516000264 |
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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. Dane Person 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 |
|---|
Dane Person,
2991 Eclectic Ct,
Watkins, CO 80137-7117
Ph: () - | Dane Person,
310 Continental Drive,
Jal, NM 88252
Ph: (575) 395-3400 |
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