Terry L Dodge, MD in Chester, SC - Medicare Anesthesiology

Terry L Dodge, MD is a medicare enrolled "Anesthesiology" physician in Chester, South Carolina. His current practice location is 1 Medical Park Dr, Chester, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 581-3151.

Terry L Dodge is licensed to practice in South Carolina (license number 6992) 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 1639168339.

Contact Information

	Terry L Dodge, MD
	1 Medical Park Dr, Chester, SC 29706-9769
	(803) 581-3151
	(803) 385-3183

Map and Direction

Physician's Profile

Full Name	Terry L Dodge
Gender	Male
Speciality	Anesthesiology
Location	1 Medical Park Dr, Chester, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639168339
Provider Enumeration Date: 10/17/2005
Last Update Date: 07/24/2007

Medicare PECOS Information:

PECOS PAC ID: 9830093780
Enrollment ID: I20060824000498

Medical Identifiers

Medical identifiers for Terry L Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639168339	NPI	-	NPPES
069927	Medicaid	SC
A9373	Other		MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	6992 (South Carolina)	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. Terry L Dodge allows following entities to bill medicare on his behalf.

Entity Name	Carolina Community Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801418942 PECOS PAC ID: 5092891598 Enrollment ID: O20200604000682

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. Terry L 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 Address	Practice Location Address
Terry L Dodge, MD 1 Medical Park Dr, Chester, SC 29706-9769 Ph: (803) 581-3151	Terry L Dodge, MD 1 Medical Park Dr, Chester, SC 29706-9769 Ph: (803) 581-3151

Terry L Dodge, MD - Medicare Anesthesiology in Chester, SC