Douglas C Dedelow, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Hobart, Indiana. His current practice location is
1400 S Lake Park Ave, Ste 205, Hobart, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 942-8620.
Douglas C Dedelow is licensed to practice in Indiana (license number 02001822A) 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 1861492993.
Physician's Profile
| Full Name | Douglas C Dedelow |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1400 S Lake Park Ave, Hobart, Indiana |
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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. |
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Medical Education and Training:
- Douglas C Dedelow attended and graduated from in
NPI Data:
- NPI Number: 1861492993
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 07/29/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Douglas C Dedelow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861492993 | NPI | - | NPPES |
| 200127880 | Medicaid | IN | |
| 256700A | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 02001822A (Indiana) | Primary |
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. Douglas C Dedelow 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 |
|---|
Douglas C Dedelow, DO
9660 Wicker Avenue,
St John, IN 46373-9487
Ph: (219) 226-2203 | Douglas C Dedelow, DO
1400 S Lake Park Ave, Ste 205,
Hobart, IN 46342-6790
Ph: (219) 942-8620 |
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