Polly Chrysanthemum Dodds, is a medicare enrolled "Nurse Practitioner - Family" in Copperopolis, California. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mark Twain Medical Center and her current practice location is
430 Sawmill Creek Rd Unit 6, Copperopolis, California. You can reach out to her office (for appointments etc.) via phone at
(209) 785-7000.
Polly Chrysanthemum Dodds is licensed to practice in California (license number NP95013962) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821622820.
Provider's Profile
| Full Name | Polly Chrysanthemum Dodds |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 430 Sawmill Creek Rd Unit 6, Copperopolis, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Polly Chrysanthemum Dodds graduated from nursing school in 2019
NPI Data:
- NPI Number: 1821622820
- Provider Enumeration Date: 02/27/2020
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991128753
- Enrollment ID: I20200702001992
Medical Identifiers
Medical identifiers for Polly Chrysanthemum Dodds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821622820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP95013962 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mark Twain Medical Center | 8820073711 | 27 |
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. Polly Chrysanthemum Dodds allows following entities to bill medicare on her behalf.
| Entity Name | Mark Twain Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508968819
PECOS PAC ID: 8820073711
Enrollment ID: O20061006000227 |
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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. Polly Chrysanthemum Dodds 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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Polly Chrysanthemum Dodds,
430 Sawmill Creek Rd Unit 6,
Copperopolis, CA 95228-9242
Ph: (209) 785-7000 | Polly Chrysanthemum Dodds,
430 Sawmill Creek Rd Unit 6,
Copperopolis, CA 95228-9242
Ph: (209) 785-7000 |
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