Micaela Jane Dagucon, MD - Medicare Otolaryngology in Usaf Academy, CO

Micaela Jane Dagucon, MD is a medicare enrolled "Otolaryngology" physician in Usaf Academy, Colorado. Her current practice location is 10th Mdg, 4102 Pinon Dr., Usaf Academy, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 333-5142.

Micaela Jane Dagucon is licensed to practice in Virginia (license number 0101257323) 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 1396182234.

Contact Information

Micaela Jane Dagucon, MD
10th Mdg, 4102 Pinon Dr.,
Usaf Academy, CO 80840-2502
(719) 333-5142
Not Available



Physician's Profile

Full NameMicaela Jane Dagucon
GenderFemale
SpecialityOtolaryngology
Location10th Mdg, Usaf Academy, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396182234
  • Provider Enumeration Date: 06/02/2013
  • Last Update Date: 05/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547613440
  • Enrollment ID: I20240126002741

Medical Identifiers

Medical identifiers for Micaela Jane Dagucon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396182234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 0101257323 (Virginia)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. Micaela Jane Dagucon allows following entities to bill medicare on her behalf.
Entity NameSouthwest Medical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724

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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. Micaela Jane Dagucon 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
Micaela Jane Dagucon, MD
10th Mdg, 4102 Pinon Dr,
Usaf Academy, CO 80840-2502

Ph: (719) 333-5142
Micaela Jane Dagucon, MD
10th Mdg, 4102 Pinon Dr.,
Usaf Academy, CO 80840-2502

Ph: (719) 333-5142

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Otolaryngology Doctors in Usaf Academy, CO

Jonathan Luke Arnholt, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840
Phone: 719-333-5142    Fax: 719-333-9774
Dr. Nicole Marie Hsu, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840
Phone: 719-333-5142    Fax: 719-333-9774

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