Jonathan Dodard, in Ridgefield, CT - Medicare Nurse Practitioner

Jonathan Dodard, is a medicare enrolled "Nurse Practitioner - Family" in Ridgefield, Connecticut. His current practice location is 96 Danbury Rd, Ridgefield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 438-0874.

Jonathan Dodard is licensed to practice in Connecticut (license number 12993) 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 1245099175.

Contact Information

	Jonathan Dodard,
	96 Danbury Rd, Ridgefield, CT 06877-4069
	(203) 438-0874
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Dodard
Gender	Male
Speciality	Nurse Practitioner - Family
Location	96 Danbury Rd, Ridgefield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245099175
Provider Enumeration Date: 03/14/2024
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2264979400
Enrollment ID: I20240805003905

Medical Identifiers

Medical identifiers for Jonathan Dodard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245099175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12993 (Connecticut)	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. Jonathan Dodard allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Jonathan Dodard 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
Jonathan Dodard, 2 Teaberry Ln Unit 2, Ridgefield, CT 06877-3349 Ph: (857) 417-5294	Jonathan Dodard, 96 Danbury Rd, Ridgefield, CT 06877-4069 Ph: (203) 438-0874

Reviews and Comments

Nurse Practitioner Nurses in Ridgefield, CT

Kathleen Claire Mcauliffe, FNP- BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 South St, Ridgefield, CT 06877 Phone: 203-438-6541
Mrs. Lauren Ann Messina, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 Governor St, Ridgefield, CT 06877 Phone: 914-400-4446
Allison Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 290 Danbury Rd, Ridgefield, CT 06877 Phone: 203-339-1262
Margaret Spera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Danbury Rd, Ridgefield, CT 06877 Phone: 203-438-0874 Fax: 203-438-5986
Teresa Michele Healy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 93 Old Ridgefield Rd, Ridgefield, CT 06877 Phone: 203-733-3323
Corrine Monique Rotas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 642 Danbury Road, Ridgefield, CT 06877 Phone: 203-314-1469

Jonathan Dodard, - Medicare Nurse Practitioner in Ridgefield, CT