Dustin Lee Dillon, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. His current practice location is
1707 W Charleston Blvd Ste 160, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(310) 825-6373.
Dustin Lee Dillon is licensed to practice in * (Not Available) (license number ) 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 1083479224.
Physician's Profile
| Full Name | Dustin Lee Dillon |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1707 W Charleston Blvd Ste 160, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083479224
- Provider Enumeration Date: 02/16/2024
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406395359
- Enrollment ID: I20240823001375
Medical Identifiers
Medical identifiers for Dustin Lee Dillon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083479224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | LL4316 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dustin Lee Dillon 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 |
|---|
Dustin Lee Dillon,
885 Tiverton Drive,
Los Angeles, CA 90095-0001
Ph: (310) 825-6373 | Dustin Lee Dillon,
1707 W Charleston Blvd Ste 160,
Las Vegas, NV 89102-2354
Ph: (310) 825-6373 |
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