Zachary Ryan Dottor, PA-C is a medicare enrolled "Physician Assistant" in Wilke Barre, Pennsylvania. His current practice location is
1000 East Mountain Blvd, Wilke Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 808-7861.
Zachary Ryan Dottor is licensed to practice in Pennsylvania (license number MA064884) 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 1619749082.
Provider's Profile
Full Name | Zachary Ryan Dottor |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1000 East Mountain Blvd, Wilke Barre, Pennsylvania |
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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: 1619749082
- Provider Enumeration Date: 10/27/2023
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305384777
- Enrollment ID: I20240815004503
Medical Identifiers
Medical identifiers for Zachary Ryan Dottor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619749082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | MA064884 (Pennsylvania) | Secondary |
363AS0400X | Physician Assistant - Surgical | OA006668 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | MA064884 (Pennsylvania) | 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. Zachary Ryan Dottor 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 |
Zachary Ryan Dottor, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7861 | Zachary Ryan Dottor, PA-C 1000 East Mountain Blvd, Wilke Barre, PA 18711-0027 Ph: (570) 808-7861 |
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