Jack E Dobkin, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Laurens, South Carolina. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Prisma Health University Medical Group and his current practice location is
106 Parkview Dr, Laurens, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 984-0571.
Jack E Dobkin is licensed to practice in South Carolina (license number 51708) 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 1194771469.
Physician's Profile
| Full Name | Jack E Dobkin |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 40 Years |
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| Location | 106 Parkview Dr, Laurens, South Carolina |
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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. |
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Medical Education and Training:
- Jack E Dobkin graduated from medical school in 1984
NPI Data:
- NPI Number: 1194771469
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769436013
- Enrollment ID: I20180313002202
Medical Identifiers
Medical identifiers for Jack E Dobkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194771469 | NPI | - | NPPES |
| 00AX80760 | Medicaid | CA | |
| 044862 | Other | | HEALHT NET ID # |
| 020A80760 | Other | | BLUE SHIELD ID # |
| 60066531 | Other | | RAILROAD |
| 60066532 | Other | | RAILROAD |
| 517088 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20A8076 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 51708 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prisma Health University Medical Group | 8325950983 | 2201 |
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. Jack E Dobkin allows following entities to bill medicare on his behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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. Jack E Dobkin 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 |
|---|
Jack E Dobkin, DO
Dept La 23039,
Pasadena, CA 91185-3039
Ph: (562) 282-4038 | Jack E Dobkin, DO
106 Parkview Dr,
Laurens, SC 29360-2652
Ph: (864) 984-0571 |
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