Rebecca K Dallas, CPNP in Wake Forest, NC - Medicare Nurse Practitioner

Rebecca K Dallas, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Wake Forest, North Carolina. Her current practice location is 1655 Wake Drive, Suite 101, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 556-4779.

Rebecca K Dallas is licensed to practice in North Carolina (license number 5006981) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013311653.

Contact Information

	Rebecca K Dallas, CPNP
	1655 Wake Drive, Suite 101, Wake Forest, NC 27587-4746
	(919) 556-4779
	(919) 556-5277

Map and Direction

Provider's Profile

Full Name	Rebecca K Dallas
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1655 Wake Drive, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013311653
Provider Enumeration Date: 10/10/2014
Last Update Date: 10/10/2014

Medicare PECOS Information:

PECOS PAC ID: 5991005647
Enrollment ID: I20151201003336

Medical Identifiers

Medical identifiers for Rebecca K Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013311653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5006981 (North Carolina)	Primary

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. Rebecca K Dallas allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Pediatric Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790782126 PECOS PAC ID: 6709029523 Enrollment ID: O20130827000414

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. Rebecca K Dallas 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
Rebecca K Dallas, CPNP 1655 Wake Drive, Suite 101, Wake Forest, NC 27587-4746 Ph: (919) 556-4779	Rebecca K Dallas, CPNP 1655 Wake Drive, Suite 101, Wake Forest, NC 27587-4746 Ph: (919) 556-4779

Reviews and Comments

Nurse Practitioner Nurses in Wake Forest, NC

Caroline Wambui Kinge, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475
Ms. Robin Nicole Godwin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Dr Calvin Jones Hwy, Wake Forest, NC 27587 Phone: 336-207-4731
Deborah Hupp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 Phone: 866-389-2727 Fax: 401-652-9787
Cherita Anders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 195-564-7799 Fax: 919-556-5277
Ms. Christina Theresa Newman, AGPCNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Tackwood Ct, Wake Forest, NC 27587 Phone: 919-757-9194
Gwen Christine Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Main St, Wake Forest, NC 27587 Phone: 919-350-0365

Rebecca K Dallas, CPNP - Medicare Nurse Practitioner in Wake Forest, NC