Kevin C Dodson, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in East Moline, Illinois. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. His current practice location is
1620 9th St, East Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 755-3809.
Kevin C Dodson is licensed to practice in Illinois (license number 016004304) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629076559.
Healthcare Provider's Profile
Full Name | Kevin C Dodson |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 35 Years |
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Location | 1620 9th St, East Moline, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kevin C Dodson graduated from medical school in 1989
NPI Data:
- NPI Number: 1629076559
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 10/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 3678558095
- Enrollment ID: I20040621001045
Medical Identifiers
Medical identifiers for Kevin C Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629076559 | NPI | - | NPPES |
0060201286 | Other | IL | BLUE CROSS AND BLUE SHIEL |
0436154 | Other | IA | IME |
363660257003 | Other | IA | TRICARE |
P00204462 | Other | IA | MEDICARE RAILROAD |
016004304 | Medicaid | IL | |
020110 | Other | IL | HEALTH ALLIANCE |
36473 | Other | IA | WELLMARK BLUE CROSS BLUE SHIELD |
326507258 | Other | IL | TRICARE |
480007485 | Other | IL | MEDICARE RAILROAD |
IL0101 | Other | IL | UNITED HEALTHCARE |
I12453 | Other | IA | MEDICARE |
IA0102 | Other | IA | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004304 (Illinois) | Primary |
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. Kevin C Dodson 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 |
Kevin C Dodson, 1620 9th St, East Moline, IL 61244-2120 Ph: (309) 755-3809 | Kevin C Dodson, 1620 9th St, East Moline, IL 61244-2120 Ph: (309) 755-3809 |
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