Jeannine Misutka Dodds, is a medicare enrolled "Physician Assistant" in Cincinnatus, New York. Her current practice location is
2809 Cincinnatus Rd, Cincinnatus, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 863-3200.
Jeannine Misutka Dodds is licensed to practice in New York (license number 012300) 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 1043412976.
Provider's Profile
| Full Name | Jeannine Misutka Dodds |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2809 Cincinnatus Rd, Cincinnatus, New York |
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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: 1043412976
- Provider Enumeration Date: 06/04/2007
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486892395
- Enrollment ID: I20201228002451
Medical Identifiers
Medical identifiers for Jeannine Misutka Dodds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043412976 | NPI | - | NPPES |
| 03433754 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 012300 (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. Jeannine Misutka Dodds 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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Jeannine Misutka Dodds,
85 South West Street,
Homer, NY 13077-0000
Ph: (607) 753-3797 | Jeannine Misutka Dodds,
2809 Cincinnatus Rd,
Cincinnatus, NY 13040-9685
Ph: (607) 863-3200 |
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