Dr Richard John Donlick Jr, DO is a medicare enrolled "Internal Medicine" physician in Kayenta, Arizona. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Us Health Dept Of Health And Human Services and his current practice location is
Hwy 160 & Mp 394.3, Kayenta, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 697-4000.
Dr Richard John Donlick Jr is licensed to practice in Pennsylvania (license number OS014344) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528238987.
Physician's Profile
Full Name | Dr Richard John Donlick Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 21 Years |
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Location | Hwy 160 & Mp 394.3, Kayenta, Arizona |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Richard John Donlick Jr attended and graduated from Philadelphia College Of Osteopathic Medicine in 2003
NPI Data:
- NPI Number: 1528238987
- Provider Enumeration Date: 03/01/2008
- Last Update Date: 01/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486817186
- Enrollment ID: I20170420002029
Medical Identifiers
Medical identifiers for Dr Richard John Donlick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528238987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | OS014344 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Us Health Dept Of Health And Human Services | 9638081623 | 90 |
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 Richard John Donlick Jr allows following entities to bill medicare on his behalf.
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
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Entity Name | Kayenta Alternative Rural Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422 |
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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 Richard John Donlick Jr 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 Richard John Donlick Jr, DO Po Box 368, Kayenta, AZ 86033-0368 Ph: (928) 697-4000 | Dr Richard John Donlick Jr, DO Hwy 160 & Mp 394.3, Kayenta, AZ 86033 Ph: (928) 697-4000 |
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