Bernie J Dallum, MD in Grand Forks, ND

Bernie J Dallum, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Forks, North Dakota. His current practice location is 1200 S Columbia Rd - Altru Hospital, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 780-5246.

Bernie J Dallum is licensed to practice in North Dakota (license number 8589) 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 1023109139.

Contact Information

	Bernie J Dallum, MD
	1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201
	(701) 780-5246
	Not Available

Map and Direction

Physician's Profile

Full Name	Bernie J Dallum
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1200 S Columbia Rd - Altru Hospital, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023109139
Provider Enumeration Date: 09/27/2006
Last Update Date: 03/07/2019

Medicare PECOS Information:

PECOS PAC ID: 1254323272
Enrollment ID: I20040331000854

Medical Identifiers

Medical identifiers for Bernie J Dallum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023109139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	8589 (North Dakota)	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. Bernie J Dallum allows following entities to bill medicare on his behalf.

Entity Name	Cooperstown Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722

Entity Name	Cavalier County Memorial Hospital Association
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1750328662 PECOS PAC ID: 5092623520 Enrollment ID: O20040216000293

Entity Name	Cavalier County Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750328662 PECOS PAC ID: 5092623520 Enrollment ID: O20040527000411

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. Bernie J Dallum 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
Bernie J Dallum, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891	Bernie J Dallum, MD 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Ph: (701) 780-5246

Reviews and Comments

Radiology Doctors in Grand Forks, ND

Gerald S Smyser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Dr. Andrew Lukaszewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Randall J Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Marshall Winchester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Larissa L Hood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Justin Mauch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477

Bernie J Dallum, MD - Medicare Radiology in Grand Forks, ND