Dallas W Lipscomb, PA-C is a medicare enrolled "Physician Assistant" in Elephant Butte, New Mexico. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
600 Nm Hwy 195, Ste A, Elephant Butte, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 744-4872.
Dallas W Lipscomb is licensed to practice in New Mexico (license number PA2013-0027) 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 1194724708.
Provider's Profile
| Full Name | Dallas W Lipscomb |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 600 Nm Hwy 195, Elephant Butte, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dallas W Lipscomb graduated from nursing school in 2012
NPI Data:
- NPI Number: 1194724708
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416947528
- Enrollment ID: I20130923000337
Medical Identifiers
Medical identifiers for Dallas W Lipscomb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194724708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (Illinois) | Secondary |
| 363A00000X | Physician Assistant | PA2013-0027 (New Mexico) | Primary |
Medical Facilities Affiliation
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 W Lipscomb allows following entities to bill medicare on his behalf.
| Entity Name | Ben Archer Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871528505 PECOS PAC ID: 7517878796 Enrollment ID: O20031120000966 |
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| Entity Name | Compassion Care Clinic PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063027761 PECOS PAC ID: 9537589775 Enrollment ID: O20201009000124 |
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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 W Lipscomb 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 |
Dallas W Lipscomb, PA-C Po Box 449, Elephant Butte, NM 87935-0449 Ph: (575) 267-3280 | Dallas W Lipscomb, PA-C 600 Nm Hwy 195, Ste A, Elephant Butte, NM 87935-0449 Ph: (575) 744-4872 |
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