Dr Jake Daniel Dodge, DO - Medicare Family Medicine in Nellis Afb, NV

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Dr Jake Daniel Dodge, DO is a medicare enrolled "Family Medicine" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (915) 540-1431.

Dr Jake Daniel Dodge is licensed to practice in Nevada (license number SL1306) 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 1114410784.

Contact Information

Dr Jake Daniel Dodge, DO
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(915) 540-1431
Not Available

Map and Direction




Physician's Profile

Full NameDr Jake Daniel Dodge
GenderMale
SpecialityFamily Medicine
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114410784
  • Provider Enumeration Date: 06/08/2018
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840540621
  • Enrollment ID: I20240514003774

Medical Identifiers

Medical identifiers for Dr Jake Daniel Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114410784NPI-NPPES
029551OtherCOKAISER COMMERCIAL NUMBER
SL1306OtherNVNEVADA STATE LICENSING BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR.0069622 (Colorado)Secondary
207Q00000XFamily Medicine SL1306 (Nevada)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 Jake Daniel Dodge allows following entities to bill medicare on his behalf.
Entity NameColorado Permanente Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640

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 Jake Daniel Dodge 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 AddressPractice Location Address
Dr Jake Daniel Dodge, DO
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (915) 540-1431		Dr Jake Daniel Dodge, DO
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (915) 540-1431

Reviews and Comments


Family Medicine Doctors in Nellis Afb, NV

Dr. Debra A Koenigsberger, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2267    
Eileen Ly, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Ningyi Zheng, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Alisha Provost, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Noel R Colls, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2764    
Dr. Elizabeth Anne Landman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Kristen Dorazio, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.