Jack Doty Iii, PA is a medicare enrolled "Physician Assistant - Medical" in Delbarton, West Virginia. His current practice location is
5027 Helena Ave, Delbarton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 475-1761.
Jack Doty Iii is licensed to practice in West Virginia (license number 1970) 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 1801254412.
Provider's Profile
Full Name | Jack Doty Iii |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 5027 Helena Ave, Delbarton, West Virginia |
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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: 1801254412
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779875125
- Enrollment ID: I20160706000915
Medical Identifiers
Medical identifiers for Jack Doty Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801254412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 1970 (West 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. Jack Doty Iii 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 |
Jack Doty Iii, PA 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: () - | Jack Doty Iii, PA 5027 Helena Ave, Delbarton, WV 25670-1301 Ph: (304) 475-1761 |
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