Gina M Dieudonne, MD is a medicare enrolled "Pediatrics" physician in Humboldt, Tennessee. Her current practice location is
1636 E Main St, Humboldt, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 784-7833.
Gina M Dieudonne is licensed to practice in Tennessee (license number 41750) 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 1427030063.
Physician's Profile
Full Name | Gina M Dieudonne |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1636 E Main St, Humboldt, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427030063
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 08/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 9335248855
- Enrollment ID: I20070625000551
Medical Identifiers
Medical identifiers for Gina M Dieudonne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427030063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 41750 (Tennessee) | 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. Gina M Dieudonne allows following entities to bill medicare on her behalf.
Entity Name | Rainbow Pediatric Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255474300 PECOS PAC ID: 3577662097 Enrollment ID: O20070625000578 |
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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. Gina M Dieudonne 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 |
Gina M Dieudonne, MD 1636 E Main Street, Humboldt, TN 38343-2922 Ph: (731) 784-7833 | Gina M Dieudonne, MD 1636 E Main St, Humboldt, TN 38343-2904 Ph: (731) 784-7833 |
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