Phillip M Dove, is a medicare enrolled "Internal Medicine" physician in La Pine, Oregon. His current practice location is
51600 Huntington Rd, La Pine, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 536-3435.
Phillip M Dove is licensed to practice in Oregon (license number MD157489) 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 1699966689.
Physician's Profile
| Full Name | Phillip M Dove |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 51600 Huntington Rd, La Pine, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1699966689
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 03/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 6002930229
- Enrollment ID: I20100825000281
Medical Identifiers
Medical identifiers for Phillip M Dove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699966689 | NPI | - | NPPES |
| 500645438 | Medicaid | OR | |
| 2008096 | Medicaid | WA | |
| G8892632 | Other | WA | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD60152937 (Washington) | Secondary |
| 207R00000X | Internal Medicine | MD157489 (Oregon) | 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. Phillip M Dove allows following entities to bill medicare on his behalf.
| Entity Name | Landmark Medical Of Washington Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013309509
PECOS PAC ID: 0749509107
Enrollment ID: O20150506001054 |
|---|
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. Phillip M Dove 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 |
|---|
Phillip M Dove,
Po Box 3300,
La Pine, OR 97739-3300
Ph: (541) 536-3435 | Phillip M Dove,
51600 Huntington Rd,
La Pine, OR 97739-9626
Ph: (541) 536-3435 |
Reviews and Comments