Dr Datcha Tracy Dorvil, DO - Medicare Internal Medicine in Kalamazoo, MI

Dr Datcha Tracy Dorvil, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Winslow Indian Health Care Center Inc and her current practice location is 1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 337-4400.

Dr Datcha Tracy Dorvil is licensed to practice in Michigan (license number 5101017761) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043470065.

Contact Information

Dr Datcha Tracy Dorvil, DO
1000 Oakland Dr,
Kalamazoo, MI 49008-1282
(269) 337-4400
Not Available



Physician's Profile

Full NameDr Datcha Tracy Dorvil
GenderFemale
SpecialityInternal Medicine
Experience16 Years
Location1000 Oakland Dr, Kalamazoo, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Datcha Tracy Dorvil graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1043470065
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 06/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4486891561
  • Enrollment ID: I20130509000043

Medical Identifiers

Medical identifiers for Dr Datcha Tracy Dorvil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043470065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5101017761 (Michigan)Secondary
208000000XPediatrics 5101017761 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program 5101017761 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Little Colorado Medical CenterWinslow, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Winslow Indian Health Care Center Inc428454899171

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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 Datcha Tracy Dorvil allows following entities to bill medicare on her behalf.
Entity NameWinslow Indian Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184729493
PECOS PAC ID: 4284548991
Enrollment ID: O20031117000864

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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. Dr Datcha Tracy Dorvil 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 AddressPractice Location Address
Dr Datcha Tracy Dorvil, DO
1000 Oakland Dr,
Kalamazoo, MI 49008-1282

Ph: (269) 337-4400
Dr Datcha Tracy Dorvil, DO
1000 Oakland Dr,
Kalamazoo, MI 49008-1282

Ph: (269) 337-4400

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