Dr Giselle Marie Dutcher, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Miami, Florida. Her current practice location is
1611 Nw 12th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 243-2201.
Dr Giselle Marie Dutcher is licensed to practice in * (Not Available) (license number ) 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 1457761264.
Physician's Profile
| Full Name | Dr Giselle Marie Dutcher |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1611 Nw 12th Ave, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457761264
- Provider Enumeration Date: 05/01/2014
- Last Update Date: 06/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406116581
- Enrollment ID: I20220920002468
Medical Identifiers
Medical identifiers for Dr Giselle Marie Dutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457761264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 78412 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Giselle Marie Dutcher 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. Dr Giselle Marie Dutcher 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 Giselle Marie Dutcher, MD
1120 Nw 14th St,
Miami, FL 33136-2107
Ph: (305) 243-9741 | Dr Giselle Marie Dutcher, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005
Ph: (305) 243-2201 |
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