Vincent H. Dodge, M.D.
Individual provider Active NPI Emergency Medicine Physician · Baker, LA
NPI 1497714919 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1497714919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- ME158804 (FL)
- Practice address
- 12428 Whispering Oaks Dr
Baker, LA 70714-6027 - Phone
- (225) 775-7513
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.22 of 100
- Quality
- 8.06
- Improvement activities
- 40
- Cost
- 90.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230330001223 | FL | Practitioner - Emergency Medicine | 9830124437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 200219 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland EMS at Weems PL | Emergency Medicine | Current |
Accepting new patients |
| Santa Rosa HB Medical Services LLC | Emergency Medicine | Current |
Accepting new patients |
| C&M Medical Services-St Elizabeth LLC | Past | Accepting new patients | |
| Nes Louisiana Inc | Emergency Medicine | Past | Accepting new patients |
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Van Meter Emergency Physicians Inc. Apmc | Emergency Medicine | Past | Accepting new patients |
| C & M Medical Services, Inc. | Past | Accepting new patients |
Locations
135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD 200219 | LA | |
| Emergency Medicine Physician | 207P00000X | ME158804 | FL | Yes |
Addresses
Primary practice location
12428 Whispering Oaks Dr
Baker, LA 70714-6027
Mailing address
12428 Whispering Oaks Dr
Baker, LA 70714-6027
Phone (225) 775-7513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1216704 | Medicaid | LA |
Other providers in Baker, LA
- Davis & Son'S Transport LLC
- Joseph Davis Jr.
- Definitive Transport
- Destiny Home Health Care, Inc.
- Divine Medical Transportation and Services, LLC
- Kuquita Dodson
- Tiara Niquelle Dorsey
- Samantha S Drake
- Joy Duhon
- Sarah Duhon
All providers in Baker, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.