Dustin Donofry, is a medicare enrolled "Physical Therapist" provider in Ft Eisenhower, Georgia. His current practice location is
300 East Hospital Road, Ft Eisenhower, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-7300.
Dustin Donofry is licensed to practice in * (Not Available) (license number ) 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 1356699516.
Healthcare Provider's Profile
Full Name | Dustin Donofry |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 300 East Hospital Road, Ft Eisenhower, Georgia |
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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: 1356699516
- Provider Enumeration Date: 08/20/2012
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204160435
- Enrollment ID: I20200213003067
Medical Identifiers
Medical identifiers for Dustin Donofry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356699516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
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. Dustin Donofry allows following entities to bill medicare on his behalf.
Provider Name | Better World Development Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1699182519 PECOS PAC ID: 8325269269 Enrollment ID: O20141017002360 |
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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. Dustin Donofry 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 |
Dustin Donofry, 565 University Ave, Ste 1, Fairbanks, AK 99709-3687 Ph: (907) 328-0820 | Dustin Donofry, 300 East Hospital Road, Ft Eisenhower, GA 30905 Ph: (706) 787-7300 |
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