Nienke Prins Dosa, MD in Syracuse, NY

Nienke Prins Dosa, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in Syracuse, New York. Her current practice location is 725 Irving Ave, Crouse Pob, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-4842.

Nienke Prins Dosa is licensed to practice in New York (license number 205943) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063435774.

Contact Information

	Nienke Prins Dosa, MD
	725 Irving Ave, Crouse Pob, Syracuse, NY 13210-1603
	(315) 464-4842
	(315) 464-7564

Map and Direction

Physician's Profile

Full Name	Nienke Prins Dosa
Gender	Female
Speciality	Pediatrics - Neurodevelopmental Disabilities
Location	725 Irving Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063435774
Provider Enumeration Date: 07/25/2006
Last Update Date: 09/14/2012

Medicare PECOS Information:

PECOS PAC ID: 4284529934
Enrollment ID: I20040220000238

Medical Identifiers

Medical identifiers for Nienke Prins Dosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063435774	NPI	-	NPPES
02242377	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0008X	Pediatrics - Neurodevelopmental Disabilities	205943 (New York)	Primary

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. Nienke Prins Dosa allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483

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. Nienke Prins Dosa 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
Nienke Prins Dosa, MD 725 Irving Ave, Crouse Pob, Syracuse, NY 13210-1603 Ph: (315) 464-4842	Nienke Prins Dosa, MD 725 Irving Ave, Crouse Pob, Syracuse, NY 13210-1603 Ph: (315) 464-4842

Reviews and Comments

Pediatrics Doctors in Syracuse, NY

Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030

Nienke Prins Dosa, MD - Medicare Pediatrics in Syracuse, NY