Mr Thomas Edward Dodsworth, RN, ANP - Medicare Nurse Practitioner in Fairfax, CA

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.

Contact Information

Mr Thomas Edward Dodsworth, RN, ANP
41 Azalea Ave,
Fairfax, CA 94930-1527
(510) 381-6346
Not Available

Map and Direction




Provider's Profile

Full NameMr Thomas Edward Dodsworth
GenderMale
SpecialityNurse Practitioner - Adult Health
Location41 Azalea Ave, Fairfax, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1093027542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse 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 NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


Nurse Practitioner Nurses in Fairfax, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.