Amber Cathleen Dodgen, MD is a medicare enrolled "Pediatrics" physician in Midland, Georgia. Her current practice location is
171 Old Gate Rd, Midland, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 326-3082.
Amber Cathleen Dodgen is licensed to practice in Ohio (license number 35.134859) 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 1336438845.
Physician's Profile
Full Name | Amber Cathleen Dodgen |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 171 Old Gate Rd, Midland, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336438845
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 02/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062712839
- Enrollment ID: I20181029002604
Medical Identifiers
Medical identifiers for Amber Cathleen Dodgen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336438845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 35.134859 (Ohio) | 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. Amber Cathleen Dodgen allows following entities to bill medicare on her behalf.
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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. Amber Cathleen Dodgen 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 |
Amber Cathleen Dodgen, MD 171 Old Gate Rd, Midland, GA 31820-4770 Ph: (706) 326-3082 | Amber Cathleen Dodgen, MD 171 Old Gate Rd, Midland, GA 31820-4770 Ph: (706) 326-3082 |
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