Dr Josefina Cathryn Abendan Dubberly, MD is a medicare enrolled "Pediatrics" physician in Baxley, Georgia. Her current practice location is
105 E Tollison St Ste D, Baxley, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 366-9688.
Dr Josefina Cathryn Abendan Dubberly is licensed to practice in Georgia (license number 057562) 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 1124196928.
Physician's Profile
| Full Name | Dr Josefina Cathryn Abendan Dubberly |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 105 E Tollison St Ste D, Baxley, Georgia |
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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: 1124196928
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628147105
- Enrollment ID: I20080523000424
Medical Identifiers
Medical identifiers for Dr Josefina Cathryn Abendan Dubberly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124196928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 057562 (Georgia) | 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 Josefina Cathryn Abendan Dubberly allows following entities to bill medicare on her behalf.
| Entity Name | The Baxley And Appling County Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518967116
PECOS PAC ID: 8426957325
Enrollment ID: O20040108000489 |
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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 Josefina Cathryn Abendan Dubberly 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 Josefina Cathryn Abendan Dubberly, MD
Po Box 2070,
Baxley, GA 31515-2070
Ph: (912) 367-9841 | Dr Josefina Cathryn Abendan Dubberly, MD
105 E Tollison St Ste D,
Baxley, GA 31513-0150
Ph: (912) 366-9688 |
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