Dalton James Peaslee, MD in Fargo, ND - Medicare Internal Medicine

Dalton James Peaslee, MD is a medicare enrolled "Internal Medicine" physician in Fargo, North Dakota. His current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (406) 465-0990.

Dalton James Peaslee is licensed to practice in North Dakota (license number RL-16715) 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 1093324014.

Contact Information

	Dalton James Peaslee, MD
	5225 23rd Ave S, Fargo, ND 58104-7927
	(406) 465-0990
	Not Available

Map and Direction

Physician's Profile

Full Name	Dalton James Peaslee
Gender	Male
Speciality	Internal Medicine
Location	5225 23rd Ave S, Fargo, 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: 1093324014
Provider Enumeration Date: 07/27/2020
Last Update Date: 05/15/2025

Medicare PECOS Information:

PECOS PAC ID: 6608317771
Enrollment ID: I20240917003786

Medical Identifiers

Medical identifiers for Dalton James Peaslee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093324014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	V4961 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	V4941 (Texas)	Secondary
207R00000X	Internal Medicine	RL-16715 (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. Dalton James Peaslee allows following entities to bill medicare on his behalf.

Entity Name	Mid-south Imaging & Therapeutics, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043260763 PECOS PAC ID: 9133106396 Enrollment ID: O20170124002448

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. Dalton James Peaslee 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
Dalton James Peaslee, MD 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (406) 465-0990	Dalton James Peaslee, MD 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (406) 465-0990

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

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Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Krishna Chaitanya Talluri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731

Dalton James Peaslee, MD - Medicare Internal Medicine in Fargo, ND