Michael Dodson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jefferson City, Missouri. His current practice location is
1125 Madison St, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 632-5301.
Michael Dodson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154007532.
Physician's Profile
Full Name | Michael Dodson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1125 Madison St, Jefferson City, Missouri |
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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: 1154007532
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709245756
- Enrollment ID: I20230708000152
Medical Identifiers
Medical identifiers for Michael Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154007532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2023024380 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael Dodson 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 |
Michael Dodson, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5301 | Michael Dodson, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5301 |
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