Ginger L Dattilo, MD is a medicare enrolled "Internal Medicine" physician in Bellevue, Idaho. Her current practice location is
111 Ridgview Dr., Bellevue, Idaho. You can reach out to her office (for appointments etc.) via phone at
(720) 301-2055.
Ginger L Dattilo is licensed to practice in Oregon (license number MD20663) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639240864.
Physician's Profile
Full Name | Ginger L Dattilo |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 111 Ridgview Dr., Bellevue, Idaho |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ginger L Dattilo attended and graduated from in
NPI Data:
- NPI Number: 1639240864
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 05/15/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ginger L Dattilo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639240864 | NPI | - | NPPES |
272459 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD20663 (Oregon) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 43963 (Colorado) | Secondary |
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. Ginger L Dattilo 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 |
Ginger L Dattilo, MD Po Box 828, Bellevue, ID 83313-0828 Ph: (720) 301-2055 | Ginger L Dattilo, MD 111 Ridgview Dr., Bellevue, ID 83313-0828 Ph: (720) 301-2055 |
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