Mr Dane J Doornbos, PA-C in Pittston, PA - Medicare Physician Assistant

Mr Dane J Doornbos, PA-C is a medicare enrolled "Physician Assistant" in Pittston, Pennsylvania. His current practice location is 250 Kennedy Blvd Unit 2, Pittston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 342-7864.

Mr Dane J Doornbos is licensed to practice in * (Not Available) (license number ) 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 1750541579.

Contact Information

	Mr Dane J Doornbos, PA-C
	250 Kennedy Blvd Unit 2, Pittston, PA 18640-1811
	(570) 342-7864
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dane J Doornbos
Gender	Male
Speciality	Physician Assistant
Location	250 Kennedy Blvd Unit 2, Pittston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750541579
Provider Enumeration Date: 06/16/2008
Last Update Date: 09/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7214003771
Enrollment ID: I20130614000028

Medical Identifiers

Medical identifiers for Mr Dane J Doornbos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750541579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	5601005058 (Michigan)	Secondary
363A00000X	Physician Assistant	(* (Not Available))	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. Mr Dane J Doornbos 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
Mr Dane J Doornbos, PA-C 8 Lakeside Dr, South Abington Township, PA 18411-9419 Ph: (404) 985-7214	Mr Dane J Doornbos, PA-C 250 Kennedy Blvd Unit 2, Pittston, PA 18640-1811 Ph: (570) 342-7864

Reviews and Comments

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Mr Dane J Doornbos, PA-C - Medicare Physician Assistant in Pittston, PA