Dallyn Porter Udall, DO - Medicare Orthopaedic Surgery in Gilbert, AZ

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Dallyn Porter Udall, DO is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Gilbert, Arizona. His current practice location is 2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 648-5444.

Dallyn Porter Udall is licensed to practice in Arizona (license number 011544) 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 1164088605.

Contact Information

Dallyn Porter Udall, DO
2940 E Banner Gateway Dr Ste 200-250,
Gilbert, AZ 85234-2168
(602) 648-5444
(602) 772-3801

Map and Direction




Physician's Profile

Full NameDallyn Porter Udall
GenderMale
SpecialityOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery
Location2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164088605
  • Provider Enumeration Date: 05/09/2019
  • Last Update Date: 05/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971975152
  • Enrollment ID: I20230216001823

Medical Identifiers

Medical identifiers for Dallyn Porter Udall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164088605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 20A19340 (California)Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 20A19340 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 011544 (Arizona)Primary
207X00000XOrthopaedic Surgery 011544 (Arizona)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. Dallyn Porter Udall allows following entities to bill medicare on his behalf.
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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. Dallyn Porter Udall 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
Dallyn Porter Udall, DO
Po Box 80217,
Phoenix, AZ 85060-0217

Ph: (602) 385-2115		Dallyn Porter Udall, DO
2940 E Banner Gateway Dr Ste 200-250,
Gilbert, AZ 85234-2168

Ph: (602) 648-5444

Reviews and Comments


Orthopaedic Surgery Doctors in Gilbert, AZ

Dr. John H. Crothers, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-543-6700    Fax: 480-543-6725
Frank J Raia, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297
Phone: 866-974-2673    Fax: 866-939-2673
Ryan Anthony Neeley, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1920 N Higley Rd, Gilbert, AZ 85234
Phone: 480-543-6700    Fax: 480-543-6725
William Michael Meszaros, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3487 S Mercy Rd, Gilbert, AZ 85297
Phone: 480-222-5601    Fax: 480-222-5607
Cynthia L Kooima, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234
Phone: 602-648-5444    Fax: 602-772-3801
Dr. Ralph Valentine Wilson, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Dr, #200, Gilbert, AZ 85234
Phone: 480-964-2908    Fax: 480-833-2136
Brent Cameron Anderson, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297
Phone: 866-974-2673    Fax: 866-939-2673

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.