Jeffrey Alan Dodge, DO - Medicare Obstetrics/gynecology in Plattsburgh, NY

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Jeffrey Alan Dodge, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Plattsburgh, New York. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1996 and has 28 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Lake Champlain Ob/gyn, Pc and his current practice location is 46 Broad Street, Suite A, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 566-9452.

Jeffrey Alan Dodge is licensed to practice in New York (license number 219394) 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 1114993482.

Contact Information

Jeffrey Alan Dodge, DO
46 Broad Street, Suite A,
Plattsburgh, NY 12901-3301
(518) 566-9452
(518) 566-9831

Map and Direction




Physician's Profile

Full NameJeffrey Alan Dodge
GenderMale
SpecialityObstetrics/gynecology
Experience28 Years
Location46 Broad Street, Suite A, Plattsburgh, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Alan Dodge attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1996
  NPI Data:
  • NPI Number: 1114993482
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 10/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608817473
  • Enrollment ID: I20110419000822

Medical Identifiers

Medical identifiers for Jeffrey Alan Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114993482NPI-NPPES
02102725MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 219394 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital
Adirondack Medical CenterSaranac lake, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Champlain Ob/gyn, Pc66088395926

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. Jeffrey Alan Dodge allows following entities to bill medicare on his behalf.
Entity NameAdirondack Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245446533
PECOS PAC ID: 9638081284
Enrollment ID: O20031103000224
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameLake Champlain Ob/gyn, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891708095
PECOS PAC ID: 6608839592
Enrollment ID: O20041111000222

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. Jeffrey Alan Dodge 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 AddressPractice Location Address
Jeffrey Alan Dodge, DO
46 Broad Street, Suite A,,
Plattsburgh, NY 12901-3301

Ph: (518) 566-9452		Jeffrey Alan Dodge, DO
46 Broad Street, Suite A,
Plattsburgh, NY 12901-3301

Ph: (518) 566-9452

Reviews and Comments


Obstetrics & Gynecology Doctors in Plattsburgh, NY

Caroline Hamel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 206 Cornelia St, Suite 306, Plattsburgh, NY 12901
Phone: 518-566-9452    Fax: 518-562-7189
Dr. Diane T Cabana, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 8 Broad Street, Plattsburgh, NY 12901
Phone: 518-563-8880    Fax: 518-562-1077
Donald M Werner, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 1942 Military Tpke, Plattsburgh, NY 12901
Phone: 518-310-3644    Fax: 518-310-3645
Molly E. Mentzer, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901
Phone: 518-563-3260    Fax: 518-561-2877
Dennis Evgenyevich Radoshkevich, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 206 Cornelia St, Suite 202, Plattsburgh, NY 12901
Phone: 518-562-7777    Fax: 518-562-7707
Dr. Ellamarie B Russo-demara, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 220 Tom Miller Rd., Plattsburgh, NY 12901
Phone: 518-562-2009    Fax: 518-561-2119

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.