Mrs Gwendolyn Marie Dubose, PA is a medicare enrolled "Physician Assistant" in Anderson, Texas. Her current practice location is
114 W Buffington Ave Ste B, Anderson, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 261-7768.
Mrs Gwendolyn Marie Dubose is licensed to practice in Texas (license number PA05851) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467725630.
Provider's Profile
| Full Name | Mrs Gwendolyn Marie Dubose |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 114 W Buffington Ave Ste B, Anderson, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467725630
- Provider Enumeration Date: 02/17/2012
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830497775
- Enrollment ID: I20160411000739
Medical Identifiers
Medical identifiers for Mrs Gwendolyn Marie Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467725630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA05851 (Texas) | Primary |
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. Mrs Gwendolyn Marie Dubose 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 |
Mrs Gwendolyn Marie Dubose, PA 114 W Buffington Ave Ste B, Anderson, TX 77830-4979 Ph: (936) 261-7768 | Mrs Gwendolyn Marie Dubose, PA 114 W Buffington Ave Ste B, Anderson, TX 77830-4979 Ph: (936) 261-7768 |
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