Si Yan Diana Dou, RPA-C in Secaucus, NJ - Medicare Physician Assistant

Si Yan Diana Dou, RPA-C is a medicare enrolled "Physician Assistant" in Secaucus, New Jersey. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Theracorp, Llc and her current practice location is 234 Pandolfi Ave, Secaucus, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 346-3298.

Si Yan Diana Dou is licensed to practice in New Jersey (license number 25MP001414400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710122767.

Contact Information

	Si Yan Diana Dou, RPA-C
	234 Pandolfi Ave, Secaucus, NJ 07094-3136
	(917) 346-3298
	Not Available

Map and Direction

Provider's Profile

Full Name	Si Yan Diana Dou
Gender	Female
Speciality	Physician Assistant
Experience	16 Years
Location	234 Pandolfi Ave, Secaucus, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Si Yan Diana Dou graduated from nursing school in 2008

NPI Data:

NPI Number: 1710122767
Provider Enumeration Date: 12/04/2008
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 6709943947
Enrollment ID: I20211005000038

Medical Identifiers

Medical identifiers for Si Yan Diana Dou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710122767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	013054 (New York)	Secondary
363A00000X	Physician Assistant	25MP001414400 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Theracorp, Llc	8426319104	9

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. Si Yan Diana Dou 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
Si Yan Diana Dou, RPA-C 234 Pandolfi Ave, Secaucus, NJ 07094-3136 Ph: (917) 346-3298	Si Yan Diana Dou, RPA-C 234 Pandolfi Ave, Secaucus, NJ 07094-3136 Ph: (917) 346-3298

Reviews and Comments

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Si Yan Diana Dou, RPA-C - Medicare Physician Assistant in Secaucus, NJ