Ms Dodie Lane Martin, PA-C is a medicare enrolled "Physician Assistant" in La Crosse, Kansas. Her current practice location is
801 Locust St, La Crosse, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 222-2564.
Ms Dodie Lane Martin is licensed to practice in Kansas (license number 15-01190) 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 1215116876.
Provider's Profile
| Full Name | Ms Dodie Lane Martin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 801 Locust St, La Crosse, Kansas |
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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: 1215116876
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981793387
- Enrollment ID: I20071208000080
Medical Identifiers
Medical identifiers for Ms Dodie Lane Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215116876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 15-01190 (Kansas) | 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. Ms Dodie Lane Martin 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 |
Ms Dodie Lane Martin, PA-C Po Box 520, La Crosse, KS 67548-0520 Ph: (785) 222-2564 | Ms Dodie Lane Martin, PA-C 801 Locust St, La Crosse, KS 67548-9673 Ph: (785) 222-2564 |
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