Dr Mary Dolores Dvorak, MD is a medicare enrolled "Internal Medicine" physician in Mountain Home A F B, Idaho. Her current practice location is
90 Hope Dr, 366 Mdg/sgh, Mountain Home A F B, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 828-7655.
Dr Mary Dolores Dvorak is licensed to practice in Pennsylvania (license number MD042672L) 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 1780676239.
Physician's Profile
| Full Name | Dr Mary Dolores Dvorak |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 90 Hope Dr, Mountain Home A F B, Idaho |
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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: 1780676239
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5294924072
- Enrollment ID: I20130624000438
Medical Identifiers
Medical identifiers for Dr Mary Dolores Dvorak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780676239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD042672L (Pennsylvania) | 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 Mary Dolores Dvorak 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 Mary Dolores Dvorak, MD
1420 Cambridge St,
Natrona Heights, PA 15065-1306
Ph: () - | Dr Mary Dolores Dvorak, MD
90 Hope Dr, 366 Mdg/sgh,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7655 |
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