Dallas Rose Innis, AUD - Medicare Audiologist in Vallejo, CA

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Dallas Rose Innis, AUD is a medicare enrolled "Audiologist" provider in Vallejo, California. Her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-2500.

Dallas Rose Innis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720896129.

Contact Information

Dallas Rose Innis, AUD
975 Sereno Dr,
Vallejo, CA 94589-2441
(707) 651-2500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDallas Rose Innis
GenderFemale
SpecialityAudiologist
Location975 Sereno Dr, Vallejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720896129
  • Provider Enumeration Date: 12/18/2024
  • Last Update Date: 12/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729503297
  • Enrollment ID: I20250416003335

Medical Identifiers

Medical identifiers for Dallas Rose Innis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720896129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))Primary

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 Rose Innis allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Rose Innis 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 Rose Innis, AUD
2100 5th St Apt 146,
Davis, CA 95618-6600

Ph: (936) 755-0004		Dallas Rose Innis, AUD
975 Sereno Dr,
Vallejo, CA 94589-2441

Ph: (707) 651-2500

Reviews and Comments


Audiologist in Vallejo, CA

Champa Sreenivas,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1761 Broadway St Ste 200, Vallejo, CA 94589
Phone: 707-645-2500    
Lisa Michelle Termansen, M.S.
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1761 Broadway St, Suite 200, Vallejo, CA 94589
Phone: 707-645-2500    
Jennifer Rose Woods Tyler, AU.D
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Zarghona Fazli,
Audiologist
Medicare: Medicare Enrolled
Practice Location: 1761 Broadway St Ste 200, Vallejo, CA 94589
Phone: 707-645-2500    

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.