Dr Allan W Dale, MD is a medicare enrolled "Emergency Medicine" physician in Faribault, Minnesota. His current practice location is
200 State Ave, Faribault, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 334-6451.
Dr Allan W Dale is licensed to practice in Minnesota (license number 57195) 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 1881634988.
Physician's Profile
| Full Name | Dr Allan W Dale |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 200 State Ave, Faribault, Minnesota |
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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: 1881634988
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163439209
- Enrollment ID: I20060314000417
Medical Identifiers
Medical identifiers for Dr Allan W Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881634988 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 12000 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 12000 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 57195 (Minnesota) | 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. Dr Allan W Dale allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Coverage Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
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| Entity Name | Tennessee River Physicians, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396282463 PECOS PAC ID: 8022387349 Enrollment ID: O20170629002555 |
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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. Dr Allan W Dale 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 |
Dr Allan W Dale, MD 447 Paradise Pt, Signal Mountain, TN 37377-7753 Ph: (423) 886-9262 | Dr Allan W Dale, MD 200 State Ave, Faribault, MN 55021 Ph: (507) 334-6451 |
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