Dr Khary Shiyth Dorsey, MD - Medicare Obstetrics & Gynecology in Modesto, CA

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Dr Khary Shiyth Dorsey, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Modesto, California. His current practice location is 1400 Florida Ave, Suite 207, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 522-1027.

Dr Khary Shiyth Dorsey is licensed to practice in California (license number 133767) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992017826.

Contact Information

Dr Khary Shiyth Dorsey, MD
1400 Florida Ave, Suite 207,
Modesto, CA 95350-4422
(209) 522-1027
Not Available

Map and Direction




Physician's Profile

Full NameDr Khary Shiyth Dorsey
GenderMale
SpecialityObstetrics & Gynecology
Location1400 Florida Ave, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992017826
  • Provider Enumeration Date: 07/08/2010
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123343670
  • Enrollment ID: I20150204002183

Medical Identifiers

Medical identifiers for Dr Khary Shiyth Dorsey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992017826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 133767 (California)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 Khary Shiyth Dorsey allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameModesto Arts Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184789927
PECOS PAC ID: 4789628918
Enrollment ID: O20050617000417

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 Khary Shiyth Dorsey 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 AddressPractice Location Address
Dr Khary Shiyth Dorsey, MD
1400 Florida Ave, Suite 207,
Modesto, CA 95350-4422

Ph: (209) 522-1027		Dr Khary Shiyth Dorsey, MD
1400 Florida Ave, Suite 207,
Modesto, CA 95350-4422

Ph: (209) 522-1027

Reviews and Comments


Obstetrics & Gynecology Doctors in Modesto, CA

Maureen Vieira, N.P.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Coolidge Ave, Modesto, CA 95350
Phone: 209-577-5005    Fax: 209-521-1533
Dr. Christopher M. Grover, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-579-5628    Fax: 209-579-5637
Susan C Ways, PHD MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Coolidge Ave, Modesto, CA 95350
Phone: 209-577-5005    Fax: 209-521-1533
Dr. James Laurence Bedell, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Justin T Hutchison, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Dr. Tessa Lynn Reisinger, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355
Phone: 209-550-4720    Fax: 209-572-2923
Dr. Nickey Jafari, MD MPH
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1401 Spanos Ct, Modesto, CA 95355
Phone: 209-550-4720    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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