Carolyn J Sharrock-dorsten, DPM is a medicare enrolled "Podiatrist" provider in Bryan, Ohio. She went to Kent State University College Of Podiatric Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Midwest Community Health Associates, Inc. and her current practice location is
442 W High St Ste 3, Bryan, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 636-4517.
Carolyn J Sharrock-dorsten is licensed to practice in Ohio (license number 36003108) 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 1659325157.
Healthcare Provider's Profile
| Full Name | Carolyn J Sharrock-dorsten |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 26 Years |
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| Location | 442 W High St Ste 3, Bryan, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carolyn J Sharrock-dorsten attended and graduated from Kent State University College Of Podiatric Medicine in 1998
NPI Data:
- NPI Number: 1659325157
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406752906
- Enrollment ID: I20031208000268
Medical Identifiers
Medical identifiers for Carolyn J Sharrock-dorsten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659325157 | NPI | - | NPPES |
| P00223135 | Other | OH | RAILROAD |
| 2199740 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 36003108 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Community Health Associates, Inc. | 0941114250 | 53 |
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. Carolyn J Sharrock-dorsten allows following entities to bill medicare on her behalf.
| Provider Name | Midwest Community Health Associates, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1619915170
PECOS PAC ID: 0941114250
Enrollment ID: O20031231000726 |
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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. Carolyn J Sharrock-dorsten 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 |
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Carolyn J Sharrock-dorsten, DPM
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Carolyn J Sharrock-dorsten, DPM
442 W High St Ste 3,
Bryan, OH 43506-1681
Ph: (419) 636-4517 |
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