Dawn R Back, PA is a medicare enrolled "Physician Assistant" in Santa Rosa, New Mexico. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Aitkin Community Hospital Inc, St Josephs Medical Center and her current practice location is
117 Camino De Vida, Suite 300, Santa Rosa, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 472-4311.
Dawn R Back is licensed to practice in New Mexico (license number PA2016-0044) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841273554.
Provider's Profile
| Full Name | Dawn R Back |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 117 Camino De Vida, Santa Rosa, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dawn R Back graduated from nursing school in 2003
NPI Data:
- NPI Number: 1841273554
- Provider Enumeration Date: 11/28/2005
- Last Update Date: 02/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 3173705357
- Enrollment ID: I20251023001803
Medical Identifiers
Medical identifiers for Dawn R Back such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841273554 | NPI | - | NPPES |
| 54452015 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA2016-0044 (New Mexico) | Primary |
| 363A00000X | Physician Assistant | 2103 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | PA.0003777 (Colorado) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aitkin Community Hospital Inc | 4981514692 | 94 |
| St Josephs Medical Center | 8224948443 | 242 |
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. Dawn R Back 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 |
|---|
Dawn R Back, PA
117 Camino De Vida, Suite 300,
Santa Rosa, NM 88435
Ph: (575) 472-4311 | Dawn R Back, PA
117 Camino De Vida, Suite 300,
Santa Rosa, NM 88435
Ph: (575) 472-4311 |
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