Dionna M Dalzell, ARNP is a medicare enrolled "Neurological Surgery" in Fort Worth, Texas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Neuropathy Pain Clinic Of Fort Worth Llc and her current practice location is
9525 N Beach St Ste 405, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 502-7411.
Dionna M Dalzell is licensed to practice in Texas (license number AP117498) 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 1114984663.
Provider's Profile
| Full Name | Dionna M Dalzell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 9525 N Beach St Ste 405, Fort Worth, Texas |
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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:
- Dionna M Dalzell graduated from nursing school in 2005
NPI Data:
- NPI Number: 1114984663
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 03/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890703573
- Enrollment ID: I20090730000612
Medical Identifiers
Medical identifiers for Dionna M Dalzell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114984663 | NPI | - | NPPES |
| 203611302 | Medicaid | TX | |
| 281353702 | Other | TX | MEDICAID GROUP EP1 |
| 281353701 | Other | TX | MEDICAID GROUP TPI |
| 8Y9337 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP117498 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 76248 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 110705 (Nebraska) | Secondary |
| 207T00000X | Neurological Surgery | AP117498 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Neuropathy Pain Clinic Of Fort Worth Llc | 4688866015 | 9 |
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. Dionna M Dalzell allows following entities to bill medicare on her behalf.
| Entity Name | American Pain & Wellness Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306857305
PECOS PAC ID: 1557378601
Enrollment ID: O20060314000575 |
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| Entity Name | Neuropathy Pain Clinic Of Fort Worth Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447561691
PECOS PAC ID: 4688866015
Enrollment ID: O20101227000574 |
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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. Dionna M Dalzell 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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Dionna M Dalzell, ARNP
9525 N Beach St Ste 405,
Fort Worth, TX 76244-6438
Ph: (817) 502-7411 | Dionna M Dalzell, ARNP
9525 N Beach St Ste 405,
Fort Worth, TX 76244
Ph: (817) 502-7411 |
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