Zachary Ryan Dottor, PA-C is a medicare enrolled "Physician Assistant" in Wilke Barre, Pennsylvania. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Geisinger Clinic and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 3 Years |
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| Location | 1000 East Mountain Blvd, Wilke Barre, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He 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:
- Zachary Ryan Dottor graduated from nursing school in 2023
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 |
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| 1619749082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | MA064884 (Pennsylvania) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | OA006668 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA064884 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Geisinger Clinic | 5395657001 | 3078 |
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 |
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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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