Dustin Durham, MD - Medicare Family Practice in Mesa, AZ

Dustin Durham, MD is a medicare enrolled "Family Medicine" physician in Mesa, Arizona. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adelante Healthcare Inc, Siskiyou Community Health Center Inc, Adelante Healthcare Inc and his current practice location is 1705 W Main St, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 964-2273.

Dustin Durham is licensed to practice in Arizona (license number 69739) 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 1740694397.

Contact Information

Dustin Durham, MD
1705 W Main St,
Mesa, AZ 85201-6920
(480) 964-2273
Not Available



Physician's Profile

Full NameDustin Durham
GenderMale
SpecialityFamily Practice
Experience10 Years
Location1705 W Main St, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dustin Durham graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1740694397
  • Provider Enumeration Date: 06/11/2014
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810119294
  • Enrollment ID: I20200814000648

Medical Identifiers

Medical identifiers for Dustin Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740694397NPI-NPPES
69739OtherAZARIZONA MEDICAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 69739 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Asante Three Rivers Medical CenterGrants pass, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adelante Healthcare Inc468858864396
Siskiyou Community Health Center Inc630574728828
Adelante Healthcare Inc468858864396

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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. Dustin Durham allows following entities to bill medicare on his behalf.
Entity NameSiskiyou Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427046903
PECOS PAC ID: 6305747288
Enrollment ID: O20040114000536

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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. Dustin Durham 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
Dustin Durham, MD
3033 N Central Ave Ste 145,
Phoenix, AZ 85012-2808

Ph: (480) 964-2273
Dustin Durham, MD
1705 W Main St,
Mesa, AZ 85201-6920

Ph: (480) 964-2273

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Read more News

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Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10032 E Southern Ave, Mesa, AZ 85209
Phone: 480-351-2850    
Jennifer Christine Fendler, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 924 N Country Club Dr, Mesa, AZ 85201
Phone: 480-601-3528    
George Ting, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203
Phone: 480-464-8500    
Dr. Thomas P Porter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210
Phone: 480-969-1446    Fax: 480-969-9105
Dana S Farris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209
Phone: 480-834-7546    Fax: 480-833-8313
Nancy Mucha, CNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2843 N 89th St, Mesa, AZ 85207
Phone: 480-396-3482    
Ryan Elisabeth Romo,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1705 W Main St, Mesa, AZ 85201
Phone: 877-809-5092    

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