Dr Datcha Tracy Dorvil, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Winslow Indian Health Care Center Inc and 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 | Internal Medicine |
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| Experience | 16 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. |
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Medical Education and Training:
- Dr Datcha Tracy Dorvil graduated from medical school in 2008
NPI Data:
- NPI Number: 1043470065
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 06/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 4486891561
- Enrollment ID: I20130509000043
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 |
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| 207R00000X | Internal Medicine | 5101017761 (Michigan) | Secondary |
| 208000000X | Pediatrics | 5101017761 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 5101017761 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Winslow Indian Health Care Center Inc | 4284548991 | 75 |
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. Dr Datcha Tracy Dorvil allows following entities to bill medicare on her behalf.
| Entity Name | Winslow Indian Health Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184729493
PECOS PAC ID: 4284548991
Enrollment ID: O20031117000864 |
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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. 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 |
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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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