Mr Michael M Dutkevicz, PA-C in Bridgeport, WV - Medicare Physician Assistant

Mr Michael M Dutkevicz, PA-C is a medicare enrolled "Physician Assistant" in Bridgeport, West Virginia. His current practice location is 135 Professional Pl, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (681) 342-3680.

Mr Michael M Dutkevicz is licensed to practice in West Virginia (license number 1809) 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 1902803331.

Contact Information

	Mr Michael M Dutkevicz, PA-C
	135 Professional Pl, Bridgeport, WV 26330-4509
	(681) 342-3680
	(681) 342-3665

Map and Direction

Provider's Profile

Full Name	Mr Michael M Dutkevicz
Gender	Male
Speciality	Physician Assistant
Location	135 Professional Pl, Bridgeport, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902803331
Provider Enumeration Date: 06/30/2005
Last Update Date: 05/20/2015

Medicare PECOS Information:

PECOS PAC ID: 9931258217
Enrollment ID: I20150112001564

Medical Identifiers

Medical identifiers for Mr Michael M Dutkevicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902803331	NPI	-	NPPES
0070754	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1809 (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. Mr Michael M Dutkevicz 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 Michael M Dutkevicz, PA-C 135 Professional Pl, Bridgeport, WV 26330-4509 Ph: (681) 342-3680	Mr Michael M Dutkevicz, PA-C 135 Professional Pl, Bridgeport, WV 26330-4509 Ph: (681) 342-3680

Reviews and Comments

Physician Assistant Nurses in Bridgeport, WV

Ms. Heather J Earl, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 103, Bridgeport, WV 26330 Phone: 681-342-3500
Brandy M Straface, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 401, Bridgeport, WV 26330 Phone: 681-342-3570 Fax: 681-342-3575
Trina Gale Nestor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 304, Bridgeport, WV 26330 Phone: 304-842-0007
Mr. Billy J Bragg, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 W Main St, Bridgeport, WV 26330 Phone: 304-842-6645 Fax: 304-842-4909
Juilia Barker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-3660
Mandolin Deborah Hoffman-marino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 135 Professional Place, Bridgeport, WV 26330 Phone: 681-342-3660 Fax: 681-342-3598
Patricia Lynn Ross, MPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Orchard Ave, Bridgeport, WV 26330 Phone: 304-842-8819

Mr Michael M Dutkevicz, PA-C - Medicare Physician Assistant in Bridgeport, WV