James Frank Dorris Iv, is a
Student In An Organized Health Care Education/training Program physician based in Groton, Connecticut. James Frank Dorris Iv is licensed to practice in Tennessee (license number 66485) and his current practice location is 1 Wahoo Ave, Groton, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 694-3759.
NPI number for James Frank Dorris Iv is 1881198760 and his current mailing address is 960 E 3rd St Ste 100, Chattanooga, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881198760.
Physician's Profile
| Full Name | James Frank Dorris Iv |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Wahoo Ave, Groton, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881198760
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 06/05/2023
Medical Identifiers
Medical identifiers for James Frank Dorris Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881198760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101267869 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 66485 (Tennessee) | 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. James Frank Dorris Iv is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James Frank Dorris Iv,
960 E 3rd St Ste 100,
Chattanooga, TN 37403-2133
Ph: () - | James Frank Dorris Iv,
1 Wahoo Ave,
Groton, CT 06349-2324
Ph: (860) 694-3759 |
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