David Lee Dutra, DPM in Jackson, CA - Medicare Podiatry Provider

David Lee Dutra, DPM is a medicare enrolled "Podiatrist" provider in Jackson, California. He graduated from medical school in 1975 and has 50 years of diverse experience with area of expertise as Podiatry. His current practice location is 613 New York Ranch Rd, Jackson, California. You can reach out to his office (for appointments etc.) via phone at (209) 223-3030.

David Lee Dutra is licensed to practice in California (license number E3190) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700989118.

Contact Information

	David Lee Dutra, DPM
	613 New York Ranch Rd, Jackson, CA 95642-9328
	(209) 223-3030
	(209) 223-5864

Map and Direction

Healthcare Provider's Profile

Full Name	David Lee Dutra
Gender	Male
Speciality	Podiatry
Experience	50 Years
Location	613 New York Ranch Rd, Jackson, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Lee Dutra graduated from medical school in 1975

NPI Data:

NPI Number: 1700989118
Provider Enumeration Date: 09/07/2006
Last Update Date: 11/23/2011

Medicare PECOS Information:

PECOS PAC ID: 2860388543
Enrollment ID: I20041203000915

Medical Identifiers

Medical identifiers for David Lee Dutra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700989118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	E3190 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Amador Hospital	Jackson, CA	Hospital
Mark Twain Medical Center	San andreas, CA	Hospital

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. David Lee Dutra allows following entities to bill medicare on his behalf.

Provider Name	David L Dutra Dpm Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043339328 PECOS PAC ID: 6002873114 Enrollment ID: O20041209001126

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. David Lee Dutra 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
David Lee Dutra, DPM Po Box 938, Jackson, CA 95642-0938 Ph: (209) 223-3030	David Lee Dutra, DPM 613 New York Ranch Rd, Jackson, CA 95642-9328 Ph: (209) 223-3030

Reviews and Comments

Podiatrist in Jackson, CA

David L Dutra Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 613 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-3030 Fax: 209-223-5864
Dr. Alton J. Smalley, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 12140 New York Ranch Road, Jackson Rancheria Health Complex, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403
Dr. Kirmanj Tahsin Atrushi, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403

David Lee Dutra, DPM - Medicare Podiatrist in Jackson, CA