Kathleen Ann Dodge, NP is a medicare enrolled "Nurse Practitioner" physician in Rochester, New York. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Highland Hospital Of Rochester and her current practice location is
601 Elmwood Ave, Box Med-hmd, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 273-1636.
Kathleen Ann Dodge is licensed to practice in New York (license number F3033251) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023059847.
Physician's Profile
| Full Name | Kathleen Ann Dodge |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 601 Elmwood Ave, Rochester, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Kathleen Ann Dodge attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2001
NPI Data:
- NPI Number: 1023059847
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688975030
- Enrollment ID: I20151209001224
Medical Identifiers
Medical identifiers for Kathleen Ann Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023059847 | NPI | - | NPPES |
| 02757606 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | 303325 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | F3033251 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Highland Hospital Of Rochester | 5496641631 | 328 |
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. Kathleen Ann Dodge allows following entities to bill medicare on her behalf.
| Entity Name | Internal Medicine Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649220393
PECOS PAC ID: 3476454661
Enrollment ID: O20040120000491 |
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| Entity Name | Highland Hospital Of Rochester |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1902221518
PECOS PAC ID: 5496641631
Enrollment ID: O20070301000229 |
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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. Kathleen Ann 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 Address | Practice Location Address |
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Kathleen Ann Dodge, NP
601 Elmwood Ave, Box Med-hmd,
Rochester, NY 14642-0001
Ph: (585) 273-1636 | Kathleen Ann Dodge, NP
601 Elmwood Ave, Box Med-hmd,
Rochester, NY 14642-0001
Ph: (585) 273-1636 |
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