Chance Dodson, MD is a medicare enrolled "Emergency Medicine" in Tulsa, Oklahoma. His current practice location is
1717 S Utica Ave Ste A, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 358-6064.
Chance Dodson is licensed to practice in Oklahoma (license number 34822) 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 1093052664.
Provider's Profile
| Full Name | Chance Dodson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1717 S Utica Ave Ste A, Tulsa, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093052664
- Provider Enumeration Date: 01/15/2013
- Last Update Date: 07/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264679364
- Enrollment ID: I20220208001434
Medical Identifiers
Medical identifiers for Chance Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093052664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2223 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 34822 (Oklahoma) | 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. Chance Dodson allows following entities to bill medicare on his behalf.
| Entity Name | Creek Nation Hospital & Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467053173
PECOS PAC ID: 5698786226
Enrollment ID: O20210226001928 |
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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. Chance Dodson 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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Chance Dodson, MD
1717 S Utica Ave Ste A,
Tulsa, OK 74104-5346
Ph: (918) 358-6064 | Chance Dodson, MD
1717 S Utica Ave Ste A,
Tulsa, OK 74104-5346
Ph: (918) 358-6064 |
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