Dawn R Back, PA - Medicare Physician Assistant in Santa Rosa, NM

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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.

Contact Information

Dawn R Back, PA
117 Camino De Vida, Suite 300,
Santa Rosa, NM 88435
(575) 472-4311
(575) 472-4313

Map and Direction




Provider's Profile

Full NameDawn R Back
GenderFemale
SpecialityPhysician Assistant
Experience23 Years
Location117 Camino De Vida, Santa Rosa, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1841273554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2016-0044 (New Mexico)Primary
363A00000XPhysician Assistant 2103 (Alaska)Secondary
363A00000XPhysician Assistant PA.0003777 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Glencoe Regional HealthGlencoe, MNHospital
Riverwood Healthcare CenterAitkin, MNHospital
Mille Lacs Health SystemOnamia, MNHospital
Essentia Health St Joseph's Medical CenterBrainerd, MNHospital
North Memorial Health - Robbinsdale HospitalRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aitkin Community Hospital Inc498151469296
St Josephs Medical Center8224948443238

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. Dawn R Back allows following entities to bill medicare on her behalf.
Entity NameAitkin Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942277835
PECOS PAC ID: 4981514692
Enrollment ID: O20031107000093
Entity NameGlencoe Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508885633
PECOS PAC ID: 1759292980
Enrollment ID: O20031119000252
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468
Entity NameMille Lacs Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212699
PECOS PAC ID: 4789577834
Enrollment ID: O20040204000052
Entity NameAitkin Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1942277835
PECOS PAC ID: 4981514692
Enrollment ID: O20080111000160

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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Santa Rosa, NM

Brian T Muniz, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 117 Camino De Vida Ste 300, Santa Rosa, NM 88435
Phone: 575-472-4311    Fax: 575-472-4313

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.