Dr Dawson D Dufort, PHD in Staten Island, NY - Medicare Psychologist Provider

Dr Dawson D Dufort, PHD is a medicare enrolled "Psychologist - Clinical" provider in Staten Island, New York. His current practice location is 256 Woodward Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (646) 807-8325.

Dr Dawson D Dufort is licensed to practice in New York (license number 68P86949) 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 1316286800.

Contact Information

	Dr Dawson D Dufort, PHD
	256 Woodward Ave, Staten Island, NY 10314-4237
	(646) 807-8325
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dawson D Dufort
Gender	Male
Speciality	Psychologist - Clinical
Location	256 Woodward Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316286800
Provider Enumeration Date: 02/04/2013
Last Update Date: 02/04/2013

Medicare PECOS Information:

PECOS PAC ID: 7012292477
Enrollment ID: I20170327001152

Medical Identifiers

Medical identifiers for Dr Dawson D Dufort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316286800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	68P86949 (New York)	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. Dr Dawson D Dufort allows following entities to bill medicare on his behalf.

Entity Name	Dufort Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053822544 PECOS PAC ID: 8729341144 Enrollment ID: O20180418001409

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. Dr Dawson D Dufort 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
Dr Dawson D Dufort, PHD 3315 9th St Apt 2r, Long Island City, NY 11106-4900 Ph: (347) 880-2150	Dr Dawson D Dufort, PHD 256 Woodward Ave, Staten Island, NY 10314-4237 Ph: (646) 807-8325

Reviews and Comments

Psychologist in Staten Island, NY

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Dr Dawson D Dufort, PHD - Medicare Psychologist in Staten Island, NY