Dallas Barry, RN, APN is a medicare enrolled "Nurse Practitioner" in Eaglebutte, South Dakota. Her current practice location is
24276 Airport Rd, 166th St, Eaglebutte, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 964-0568.
Dallas Barry is licensed to practice in South Dakota (license number CP003152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508370016.
Provider's Profile
| Full Name | Dallas Barry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 24276 Airport Rd, Eaglebutte, South Dakota |
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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: 1508370016
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 02/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961928981
- Enrollment ID: I20250502000022
Medical Identifiers
Medical identifiers for Dallas Barry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508370016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WE0003X | Registered Nurse - Emergency | R045661 (South Dakota) | Secondary |
| 363L00000X | Nurse Practitioner | CP003152 (South Dakota) | 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. Dallas Barry allows following entities to bill medicare on her behalf.
| Entity Name | Eagle Butte Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558395848
PECOS PAC ID: 7517852759
Enrollment ID: O20040217001024 |
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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. Dallas Barry 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 |
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Dallas Barry, RN, APN
207 N Byrne Ave,
Agar, SD 57520-5312
Ph: (218) 469-0641 | Dallas Barry, RN, APN
24276 Airport Rd, 166th St,
Eaglebutte, SD 57625-5762
Ph: (605) 964-0568 |
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