Michael Dodson, DO - Medicare Student in an Organized Health Care Education/Training Program in Jefferson City, MO

Michael Dodson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jefferson City, Missouri. His current practice location is 1125 Madison St, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 632-5301.

Michael Dodson 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 1154007532.

Contact Information

Michael Dodson, DO
1125 Madison St,
Jefferson City, MO 65101-5227
(573) 632-5301
(573) 632-5966



Physician's Profile

Full NameMichael Dodson
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1125 Madison St, Jefferson City, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154007532
  • Provider Enumeration Date: 06/22/2023
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709245756
  • Enrollment ID: I20230708000152

Medical Identifiers

Medical identifiers for Michael Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154007532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2023024380 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Michael 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 AddressPractice Location Address
Michael Dodson, DO
1125 Madison St,
Jefferson City, MO 65101-5227

Ph: (573) 632-5301
Michael Dodson, DO
1125 Madison St,
Jefferson City, MO 65101-5227

Ph: (573) 632-5301

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