Thaddeus Jeffrey Dmochowski, MD is a
Colon & Rectal Surgery physician based in Rochester, New York. Thaddeus Jeffrey Dmochowski is licensed to practice in New York (license number 123719) and his current practice location is 1736 Ridge Rd E, Rochester, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 266-8401.
NPI number for Thaddeus Jeffrey Dmochowski is 1033179445 and his current mailing address is 125 Lattimore Rd, Suite 270, Rochester, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033179445.
Physician's Profile
| Full Name | Thaddeus Jeffrey Dmochowski |
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| Gender | Male |
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| Speciality | Colon & Rectal Surgery |
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| Location | 1736 Ridge Rd E, Rochester, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033179445
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Thaddeus Jeffrey Dmochowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033179445 | NPI | - | NPPES |
| MD4891 | Other | NY | PREFERRED CARE |
| 00609036 | Medicaid | NY | |
| 4471447 | Other | NY | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 123719 (New York) | Primary |
| 208C00000X | Colon & Rectal Surgery | 123719 (New York) | 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. Thaddeus Jeffrey Dmochowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thaddeus Jeffrey Dmochowski, MD
125 Lattimore Rd, Suite 270,
Rochester, NY 14620-4159
Ph: (585) 442-2075 | Thaddeus Jeffrey Dmochowski, MD
1736 Ridge Rd E,
Rochester, NY 14622-2157
Ph: (585) 266-8401 |
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