Thomas E Dahlberg, MD - Medicare Family Practice in Springfield, MO

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Thomas E Dahlberg, MD is a medicare enrolled "Family Medicine" physician in Springfield, Missouri. He went to Un Of California, Irvine, College Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Elite Professional Providers, Llc, Sgoh Acquisition Inc and his current practice location is 3322 S Campbell Ave Ste T-1, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 220-4480.

Thomas E Dahlberg is licensed to practice in Missouri (license number MD104392) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013013093.

Contact Information

Thomas E Dahlberg, MD
3322 S Campbell Ave Ste T-1,
Springfield, MO 65807-4980
(417) 220-4480
(417) 414-0017

Map and Direction




Physician's Profile

Full NameThomas E Dahlberg
GenderMale
SpecialityFamily Practice
Experience43 Years
Location3322 S Campbell Ave Ste T-1, Springfield, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas E Dahlberg attended and graduated from Un Of California, Irvine, College Of Medicine in 1981
  NPI Data:
  • NPI Number: 1013013093
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406919604
  • Enrollment ID: I20090114000594

Medical Identifiers

Medical identifiers for Thomas E Dahlberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013013093NPI-NPPES
500128969MedicaidMO
080170409OtherRR MEDICARE
1013013093MedicaidMO
207984428MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QH0002XFamily Medicine - Hospice And Palliative Medicine MD104392 (Missouri)Secondary
207Q00000XFamily Medicine MD104392 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Preferred Hospice Of Missouri (southwest), LlcOzark, MOHospice
Transitions Hospice LlcBolivar, MOHospice
Regional HospiceSpringfield, MOHospice
Intrepid Usa HospiceSpringfield, MOHospice
Seasons Hospice, IncSpringfield, MOHospice
Neighborhoods At Quail Creek, TheSpringfield, MONursing home
Manor At Elfindale, TheSpringfield, MONursing home
Forsyth Care CenterForsyth, MONursing home
Hartville Care CenterHartville, MONursing home
Sonshine ManorRepublic, MONursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Elite Professional Providers, Llc12547927404
Sgoh Acquisition Inc509261627675

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. Thomas E Dahlberg allows following entities to bill medicare on his behalf.
Entity NameSgoh Acquisition Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647
Entity NameElite Professional Providers, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891488433
PECOS PAC ID: 1254792740
Enrollment ID: O20230731003920

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. Thomas E Dahlberg 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
Thomas E Dahlberg, MD
3322 S Campbell Ave Ste T-1,
Springfield, MO 65807-4980

Ph: (417) 220-4480		Thomas E Dahlberg, MD
3322 S Campbell Ave Ste T-1,
Springfield, MO 65807-4980

Ph: (417) 220-4480

Reviews and Comments


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Phone: 417-269-1362    Fax: 417-269-1372

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.