Mr Dallen M Johnson, CAA MSA is a medicare enrolled "Anesthesiologist Assistant" in Rio Rancho, New Mexico. He went to Medical College Of Wisconsin and graduated in 2020 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Us Anesthesia Partners Of Colorado Inc and his current practice location is
3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(385) 278-9148.
Mr Dallen M Johnson is licensed to practice in Indiana (license number 75000078A) 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 1629322151.
Provider's Profile
| Full Name | Mr Dallen M Johnson |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 5 Years |
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| Location | 3001 Broadmoor Blvd Ne, Rio Rancho, 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:
- Mr Dallen M Johnson attended and graduated from Medical College Of Wisconsin in 2020
NPI Data:
- NPI Number: 1629322151
- Provider Enumeration Date: 11/06/2012
- Last Update Date: 12/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042629834
- Enrollment ID: I20240920001042
Medical Identifiers
Medical identifiers for Mr Dallen M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629322151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367H00000X | Anesthesiologist Assistant | AA2024-0001 (New Mexico) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 75000078A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
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. Mr Dallen M Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Us Anesthesia Partners Of Colorado Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
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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. Mr Dallen M Johnson 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 |
Mr Dallen M Johnson, CAA MSA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mr Dallen M Johnson, CAA MSA 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 Ph: (385) 278-9148 |
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