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

Dallyn Porter Udall, DO is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Gilbert, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2019 and has 6 years of diverse experience with area of expertise as Orthopedic Surgery. 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 Name	Dallyn Porter Udall
Gender	Male
Speciality	Orthopedic Surgery
Experience	6 Years
Location	2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dallyn Porter Udall attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2019

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: I20250409002284

Medical Identifiers

Medical identifiers for Dallyn Porter Udall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164088605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	20A19340 (California)	Secondary
207XS0114X	Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery	20A19340 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207XS0114X	Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery	011544 (Arizona)	Primary
207X00000X	Orthopaedic Surgery	011544 (Arizona)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Scripps Green Hospital	La jolla, CA	Hospital

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 Name	Orthopedic Specialists Of North America Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770812828 PECOS PAC ID: 7719014505 Enrollment ID: O20100428000061

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 Address	Practice 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
Dr. Christian Joseph Eccles, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 602-648-5444 Fax: 602-772-3801
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

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