Sara Al Dogom, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lubbock, Texas. Her current practice location is
3601 4th St, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 743-2669.
Sara Al Dogom is licensed to practice in Virginia (license number 0116038830) 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 1003480054.
Physician's Profile
Full Name | Sara Al Dogom |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3601 4th St, Lubbock, Texas |
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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: 1003480054
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214339621
- Enrollment ID: I20210708000002
Medical Identifiers
Medical identifiers for Sara Al Dogom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003480054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | BP10075621 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0116038830 (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. Sara Al Dogom 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 |
Sara Al Dogom, MD 1215 Lee St, Mailbox 800501, Charlottesville, VA 22908-0816 Ph: (434) 987-0169 | Sara Al Dogom, MD 3601 4th St, Lubbock, TX 79430-0002 Ph: (806) 743-2669 |
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