Diane Dodgen
PREMIER MEDICAL CLINIC


Address: 315 E Ash St, Perry, FL 32347-2029
Phone: 8505843278

Diane Dodgen (NPI# 1134117385, PAC ID# 8426962176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1134117385
PAC ID by PECOS 8426962176
Professional Enrollment ID I20071121000031
Full Name Diane Dodgen
Organization Legal Name PREMIER MEDICAL CLINIC
Address 315 E Ash St
Perry
FL 32347-2029
Phone Number 8505843278
Gender F
Credential MD
Graduation Year 1985
Primary Specialty EMERGENCY MEDICINE
Secondary Specialties FAMILY MEDICINE, INTERNAL MEDICINE
Group Practice PAC ID 9436116522
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100106 DOCTOR'S MEMORIAL HOSPITAL INC

Other Locations

Address Phone Organization
315 E Ash St, Perry, FL 32347-2029 8505843278 PREMIER MEDICAL CLINIC

Organization Information

Organization Legal Name PREMIER MEDICAL CLINIC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Abdul H Sofi Internal Medicine Premier Medical Clinic 315 E Ash St, Perry, FL 32347-2029

Office Location

Street Address 315 E ASH ST
City PERRY
State FL
Zip 32347-2029

Physicians in the same location

Name Specialty Organization Address
Abdul H Sofi Internal Medicine Premier Medical Clinic 315 E Ash St, Perry, FL 32347-2029

Physicians in the same zip code

Name Specialty Organization Address
Dannette I Turner Nurse Practitioner Florida Department of Health 1215 N Peacock Ave, Perry, FL 32347-2117
Mohammed H Rafi Internal Medicine Dmh Emergency Physician Group, LLC 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Joti Keshav Family Medicine Dmh Emergency Physician Group, LLC 333 N Byron Butler Pkwy, Perry, FL 32347-2300
William Marchio Anesthesiology Anesthesiology Associates of Tallahassee Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Amy S Kirby Certified Registered Nurse Anesthetist (crna) Anesthesiology Associates of Tallahassee Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
John M Rutledge Anesthesiology Anesthesiology Associates of Tallahassee Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Gregory A Mclanahan Anesthesiology Anesthesiology Associates of Tallahassee Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Gregory Hartlage Cardiovascular Disease (cardiology) Doctors Memorial Hospital Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Michael William C Miller Anesthesiology Anesthesiology Associates of Tallahassee Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Kimberly Jackson Nurse Practitioner Doctors Memorial Hospital Inc 333 N Byron Butler Pkwy, Perry, FL 32347-2300
Find all physicians in zip 32347

Competitor

Search similar physicians

City PERRY
Zip Code 32347
Specialty EMERGENCY MEDICINE
City + Specialty PERRY + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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