Maurice Deon Dale, in O Fallon, IL - Medicare Emergency Medicine

Maurice Deon Dale, is a medicare enrolled "Emergency Medicine" physician in O Fallon, Illinois. His current practice location is 1 Saint Elizabeth Blvd, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 234-2120.

Maurice Deon Dale is licensed to practice in Illinois (license number 036170338) 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 1639757958.

Contact Information

	Maurice Deon Dale,
	1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099
	(618) 234-2120
	Not Available

Map and Direction

Physician's Profile

Full Name	Maurice Deon Dale
Gender	Male
Speciality	Emergency Medicine
Location	1 Saint Elizabeth Blvd, O Fallon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639757958
Provider Enumeration Date: 03/30/2021
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2163871773
Enrollment ID: I20231207003458

Medical Identifiers

Medical identifiers for Maurice Deon Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639757958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036170338 (Illinois)	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. Maurice Deon Dale allows following entities to bill medicare on his behalf.

Entity Name	Pomerene Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863

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. Maurice Deon 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
Maurice Deon Dale, 525 E Market St, Akron, OH 44304-1619 Ph: () -	Maurice Deon Dale, 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (618) 234-2120

Reviews and Comments

Emergency Medicine Doctors in O Fallon, IL

Dr. Arthur Sippo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387
Maria Galanos, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368
Dr. Jordan Kristopher Romick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269 Phone: 618-233-5480 Fax: 618-222-4792
Vicky Hwang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368
Scott R. Roustio, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8422 Braeswood Estates Dr, O Fallon, IL 62269 Phone: 618-624-0091
Dr. Faron Fox, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387
Brian Litland, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368

Maurice Deon Dale, - Medicare Emergency Medicine in O Fallon, IL