Kevin C Dodson, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in East Moline, Illinois. His current practice location is
1620 9th St, East Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 755-3809.
Kevin C Dodson is licensed to practice in Illinois (license number 016004304) 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 1629076559.
Healthcare Provider's Profile
| Full Name | Kevin C Dodson |
|---|
| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 1620 9th St, East Moline, Illinois |
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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: 1629076559
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 10/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 3678558095
- Enrollment ID: I20040621001045
Medical Identifiers
Medical identifiers for Kevin C Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629076559 | NPI | - | NPPES |
| 480007485 | Other | IL | MEDICARE RAILROAD |
| IA0102 | Other | IA | UNITED HEALTHCARE |
| 016004304 | Medicaid | IL | |
| 0436154 | Other | IA | IME |
| 326507258 | Other | IL | TRICARE |
| IL0101 | Other | IL | UNITED HEALTHCARE |
| P00204462 | Other | IA | MEDICARE RAILROAD |
| 36473 | Other | IA | WELLMARK BLUE CROSS BLUE SHIELD |
| 0060201286 | Other | IL | BLUE CROSS AND BLUE SHIEL |
| 363660257003 | Other | IA | TRICARE |
| I12453 | Other | IA | MEDICARE |
| 020110 | Other | IL | HEALTH ALLIANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016004304 (Illinois) | 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. Kevin C Dodson 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 |
Kevin C Dodson, 1620 9th St, East Moline, IL 61244-2120 Ph: (309) 755-3809 | Kevin C Dodson, 1620 9th St, East Moline, IL 61244-2120 Ph: (309) 755-3809 |
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