Mr Thomas Edward Dodsworth, RN, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fairfax, California. His current practice location is
41 Azalea Ave, Fairfax, California. You can reach out to his office (for appointments etc.) via phone at
(510) 381-6346.
Mr Thomas Edward Dodsworth is licensed to practice in California (license number 19160) 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 1093027542.
Provider's Profile
Full Name | Mr Thomas Edward Dodsworth |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner - Adult Health |
---|
Location | 41 Azalea Ave, Fairfax, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093027542
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 06/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 5395993885
- Enrollment ID: I20120906000666
Medical Identifiers
Medical identifiers for Mr Thomas Edward Dodsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093027542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 19160 (California) | 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. Mr Thomas Edward Dodsworth allows following entities to bill medicare on his behalf.
Entity Name | Cep America - California |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
---|
Entity Name | University Of California San Francisco |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
---|
Entity Name | Ucsf Medical Group Business Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
---|
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 Thomas Edward Dodsworth 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 Thomas Edward Dodsworth, RN, ANP 41 Azalea Ave, Fairfax, CA 94930-1527 Ph: (510) 381-6346 | Mr Thomas Edward Dodsworth, RN, ANP 41 Azalea Ave, Fairfax, CA 94930-1527 Ph: (510) 381-6346 |
Reviews and Comments