Dallas Michael Smuin, MD is a medicare enrolled "Orthopaedic Surgery" physician in Roosevelt, Utah. His current practice location is
250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 722-4691.
Dallas Michael Smuin is licensed to practice in Utah (license number 8101734-1205) 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 1659862555.
Physician's Profile
| Full Name | Dallas Michael Smuin |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 250 W 300 N, Roosevelt, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659862555
- Provider Enumeration Date: 05/25/2018
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345609764
- Enrollment ID: I20230703002400
Medical Identifiers
Medical identifiers for Dallas Michael Smuin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659862555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | MT215025 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD471072 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD2023-0551 (New Mexico) | Secondary |
| 207X00000X | Orthopaedic Surgery | 8101734-1205 (Utah) | 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 Michael Smuin allows following entities to bill medicare on his behalf.
| Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
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| Entity Name | Taos Orthopaedic Institute, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538113055 PECOS PAC ID: 5991784548 Enrollment ID: O20040716000492 |
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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. Dallas Michael Smuin 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 Michael Smuin, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-4691 | Dallas Michael Smuin, MD 250 W 300 N, Roosevelt, UT 84066-2351 Ph: (435) 722-4691 |
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