Vincent Adjetey, MD is a medicare enrolled "Pediatrics" physician in Watford City, North Dakota. His current practice location is
709 4th Ave Ne, Watford City, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 842-3771.
Vincent Adjetey is licensed to practice in North Dakota (license number 17144) 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 1093200420.
Physician's Profile
| Full Name | Vincent Adjetey |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 709 4th Ave Ne, Watford City, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093200420
- Provider Enumeration Date: 06/27/2018
- Last Update Date: 12/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284033622
- Enrollment ID: I20210604000820
Medical Identifiers
Medical identifiers for Vincent Adjetey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093200420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 17144 (North Dakota) | 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. Vincent Adjetey allows following entities to bill medicare on his behalf.
| Entity Name | Mckenzie County Healthcare Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063420495
PECOS PAC ID: 5890768006
Enrollment ID: O20040817000016 |
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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. Vincent Adjetey 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 |
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Vincent Adjetey, MD
709 4th Ave Ne,
Watford City, ND 58854-7628
Ph: (701) 842-3771 | Vincent Adjetey, MD
709 4th Ave Ne,
Watford City, ND 58854-7628
Ph: (701) 842-3771 |
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