Dr Basil Dolphin, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Bethlehem, Pennsylvania. His current practice location is
2649 Schoenersville Rd, Suite 102, Bethlehem, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 884-2249.
Dr Basil Dolphin is licensed to practice in Pennsylvania (license number MD062171-L) 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 1104991645.
Physician's Profile
| Full Name | Dr Basil Dolphin |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2649 Schoenersville Rd, Bethlehem, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104991645
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 06/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 0941420277
- Enrollment ID: I20141008000909
Medical Identifiers
Medical identifiers for Dr Basil Dolphin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104991645 | NPI | - | NPPES |
| 102641760-0001 | Medicaid | PA | |
| 100730341-0008 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD062171-L (Pennsylvania) | 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. Dr Basil Dolphin allows following entities to bill medicare on his behalf.
| Entity Name | City Of Bethlehem |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831363498
PECOS PAC ID: 8123157351
Enrollment ID: O20141001001604 |
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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. Dr Basil Dolphin 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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Dr Basil Dolphin, MD
2525 Black River Rd,
Bethlehem, PA 18015-5211
Ph: (484) 884-2249 | Dr Basil Dolphin, MD
2649 Schoenersville Rd, Suite 102,
Bethlehem, PA 18017-7326
Ph: (484) 884-2249 |
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