Michael Jay Dotson, LPA, LPA is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in San Angelo, Texas. His current practice location is
1301 Hunters Glen Rd, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at
(325) 947-7080.
Michael Jay Dotson is licensed to practice in Texas (license number 30906) 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 1831213826.
Healthcare Provider's Profile
| Full Name | Michael Jay Dotson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
|---|
| Location | 1301 Hunters Glen Rd, San Angelo, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1831213826
- Provider Enumeration Date: 03/17/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911323597
- Enrollment ID: I20250109001692
Medical Identifiers
Medical identifiers for Michael Jay Dotson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831213826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 13692 (Texas) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 30906 (Texas) | 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. Michael Jay Dotson allows following entities to bill medicare on his behalf.
| Entity Name | Concho Valley Center For Human Advancement |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164479192
PECOS PAC ID: 7719936533
Enrollment ID: O20050119000856 |
|---|
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. Michael Jay Dotson 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 |
|---|
Michael Jay Dotson, LPA, LPA
1301 Hunters Glen Rd,
San Angelo, TX 76901-5005
Ph: (325) 947-7080 | Michael Jay Dotson, LPA, LPA
1301 Hunters Glen Rd,
San Angelo, TX 76901-5005
Ph: (325) 947-7080 |
Reviews and Comments