Dustin Ross Mayne, DO - Medicare Pediatrics in Ellsworth Afb, SD

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Dustin Ross Mayne, DO is a medicare enrolled "Pediatrics" physician in Ellsworth Afb, South Dakota. His current practice location is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to his office (for appointments etc.) via phone at (937) 641-3000.

Dustin Ross Mayne is licensed to practice in Nebraska (license number 1780) 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 1780045427.

Contact Information

Dustin Ross Mayne, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706
(937) 641-3000
(937) 641-5931

Map and Direction




Physician's Profile

Full NameDustin Ross Mayne
GenderMale
SpecialityPediatrics
Location2900 Doolittle Dr, Ellsworth Afb, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780045427
  • Provider Enumeration Date: 03/08/2016
  • Last Update Date: 08/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375906191
  • Enrollment ID: I20230828001106

Medical Identifiers

Medical identifiers for Dustin Ross Mayne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780045427NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 1780 (Nebraska)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. Dustin Ross Mayne allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Of Converse County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672
Entity NameBanner Hospital Based Physicians West Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619464120
PECOS PAC ID: 5799131579
Enrollment ID: O20231031001364

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 Ross Mayne 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
Dustin Ross Mayne, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (937) 641-3000		Dustin Ross Mayne, DO
2900 Doolittle Dr,
Ellsworth Afb, SD 57706

Ph: (937) 641-3000

Reviews and Comments


Pediatrics Doctors in Ellsworth Afb, SD

Dr. Amy Costello, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3285    
Dr. Caitlin Meyer, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-6700    
Joshua R Duncan, MD, MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3466    

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.