Lance Dieter Dubberke, MD is a medicare enrolled "Family Medicine" physician in Shinnston, West Virginia. His current practice location is
686 S Pike St, Shinnston, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 592-2100.
Lance Dieter Dubberke is licensed to practice in West Virginia (license number 16145) 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 1871690115.
Physician's Profile
| Full Name | Lance Dieter Dubberke |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 686 S Pike St, Shinnston, West Virginia |
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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. |
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Medical Education and Training:
- Lance Dieter Dubberke attended and graduated from in
NPI Data:
- NPI Number: 1871690115
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lance Dieter Dubberke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871690115 | NPI | - | NPPES |
| 0052728000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 16145 (West Virginia) | 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. Lance Dieter Dubberke 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 |
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Lance Dieter Dubberke, MD
686 S Pike St, Ste A,
Shinnston, WV 26431-1043
Ph: (304) 624-4655 | Lance Dieter Dubberke, MD
686 S Pike St,
Shinnston, WV 26431-1043
Ph: (304) 592-2100 |
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