Polly Chrysanthemum Dodds, - Medicare Nurse Practitioner in Copperopolis, CA

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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.

Contact Information

Polly Chrysanthemum Dodds,
430 Sawmill Creek Rd Unit 6,
Copperopolis, CA 95228-9242
(209) 785-7000
(209) 785-7025

Map and Direction




Provider's Profile

Full NamePolly Chrysanthemum Dodds
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location430 Sawmill Creek Rd Unit 6, Copperopolis, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1821622820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95013962 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health Home Care ServicesSonora, CAHome health agency
Mark Twain Medical CenterSan andreas, CAHospital
Adventist Health SonoraSonora, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mark Twain Medical Center882007371127

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 NameMark Twain Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508968819
PECOS PAC ID: 8820073711
Enrollment ID: O20061006000227

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 AddressPractice Location Address
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

Reviews and Comments


Nurse Practitioner Nurses in Copperopolis, CA

Sofia R. Bulahan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Copperopolis Family Medical Clinic, 3505 Spangler Lane, Suite 400, Copperopolis, CA 95228
Phone: 209-785-7000    
Pennie Khong, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3505 Spangler Ln Ste 400, Copperopolis, CA 95228
Phone: 209-785-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.