Jack Foster Ditty Jr, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Ashland, Kentucky. He went to Louisville Medical College and graduated in 1975 and has 49 years of diverse experience with area of expertise as Dermatology. His current practice location is
100 Saint Christopher Dr, Ashland, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 836-3111.
Jack Foster Ditty Jr is licensed to practice in Kentucky (license number 20687) 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 1740315589.
Physician's Profile
| Full Name | Jack Foster Ditty Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 49 Years |
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| Location | 100 Saint Christopher Dr, Ashland, Kentucky |
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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 Foster Ditty Jr attended and graduated from Louisville Medical College in 1975
NPI Data:
- NPI Number: 1740315589
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911036421
- Enrollment ID: I20100521000168
Medical Identifiers
Medical identifiers for Jack Foster Ditty Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740315589 | NPI | - | NPPES |
| 611053554 | Other | KY | TAX ID |
| 64206873 | Medicaid | KY | |
| 024 1170 | Medicaid | OH | |
| 000000048343 | Other | KY | ANTHEM PROVIDER # |
| 20687 | Other | KY | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 20687 (Kentucky) | 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. Jack Foster Ditty Jr 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 Foster Ditty Jr, MD
100 Saint Christopher Dr,
Ashland, KY 41101-7016
Ph: (606) 836-3111 | Jack Foster Ditty Jr, MD
100 Saint Christopher Dr,
Ashland, KY 41101-7016
Ph: (606) 836-3111 |
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