Dallas Bogner, MD in Thornton, CO - Medicare Family Practice

Dallas Bogner, MD is a medicare enrolled "Family Medicine" physician in Thornton, Colorado. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 4075 E 128th Ave, Thornton, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 925-4210.

Dallas Bogner is licensed to practice in Wisconsin (license number 48225) 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 1396780144.

Contact Information

	Dallas Bogner, MD
	4075 E 128th Ave, Thornton, CO 80241-2201
	(303) 925-4210
	(303) 925-4212

Map and Direction

Physician's Profile

Full Name	Dallas Bogner
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	4075 E 128th Ave, Thornton, Colorado
Accepts Medicare Assignments	Yes. 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 Bogner graduated from medical school in 1994

NPI Data:

NPI Number: 1396780144
Provider Enumeration Date: 06/17/2006
Last Update Date: 11/04/2025

Medicare PECOS Information:

PECOS PAC ID: 0547295487
Enrollment ID: I20220217000649

Medical Identifiers

Medical identifiers for Dallas Bogner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396780144	NPI	-	NPPES
34683800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	48225 (Wisconsin)	Primary
207Q00000X	Family Medicine	DR.0034837 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centura Health-st Anthony North Health Campus	Westminster, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catholic Health Initiatives Colorado	8022927342	1231

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 Bogner allows following entities to bill medicare on his behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

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 Bogner 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
Dallas Bogner, MD Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104	Dallas Bogner, MD 4075 E 128th Ave, Thornton, CO 80241-2201 Ph: (303) 925-4210

Reviews and Comments

Family Medicine Doctors in Thornton, CO

Dr. Philip Michael Henbest, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9981 Washington St, Suite 21, Thornton, CO 80229 Phone: 303-252-0488 Fax: 303-252-1624
Dr. David Allan Landy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3814 E 120th Ave, Thornton, CO 80233 Phone: 303-452-2046 Fax: 303-280-0942
Ariane Michaela Devore, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13700 Colorado Blvd, Thornton, CO 80602 Phone: 303-451-4250
Ms. Kathryn Elizabeth Bouchard, FNP-C, PMHNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 3879 E 120th Ave # 164, Thornton, CO 80233 Phone: 720-443-3490 Fax: 720-319-8995
John Davey Douthit Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 N Washington St, Number 24, Thornton, CO 80229 Phone: 303-451-8069 Fax: 303-450-2372
Vernon Yj Lee, DO PC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9141 Grant St, Suite 245, Thornton, CO 80229 Phone: 303-252-0550 Fax: 303-252-9493
Stephen Wayne Cobb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16570 Washington St, Thornton, CO 80023 Phone: 303-689-6600 Fax: 303-689-6601

Dallas Bogner, MD - Medicare Family Practice in Thornton, CO