Dr Datcha Tracy Dorvil, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. Her current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 337-4400.
Dr Datcha Tracy Dorvil is licensed to practice in Michigan (license number 5101017761) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043470065.
Physician's Profile
Full Name | Dr Datcha Tracy Dorvil |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Datcha Tracy Dorvil attended and graduated from in
NPI Data:
- NPI Number: 1043470065
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 06/12/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Datcha Tracy Dorvil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043470065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5101017761 (Michigan) | Secondary |
208000000X | Pediatrics | 5101017761 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5101017761 (Michigan) | 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. Dr Datcha Tracy Dorvil 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 |
Dr Datcha Tracy Dorvil, DO 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 | Dr Datcha Tracy Dorvil, DO 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 |
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