MICHAEL D DETTORRE DO
NPI 1336137439
Pediatrics - Pediatric Critical Care Medicine in Hershey, PA
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About MICHAEL DETTORRE
This page provides the complete NPI Profile along with additional information for Michael Dettorre, a pediatrician established in Hershey, Pennsylvania with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1336137439 assigned on October 2005. The practitioner's primary taxonomy code is 2080P0203X with license number OS006989L (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1336137439 Verify this NPI
- Provider Name
- MICHAEL D DETTORRE DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 UNIVERSITY DR M.S.HERSHEY MEDICAL CENTER HERSHEY, PA 17033
- Location Phone
- (717) 531-5337
- Location Fax
- (717) 531-0809
- Mailing Address
- 500 UNIVERSITY DR M.S.HERSHEY MEDICAL CENTER HERSHEY, PA 17033
- Mailing Phone
- (717) 531-5337
- Mailing Fax
- (717) 531-0809
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2005
- Last Update Date
- 12-21-2011
- Code Navigator
A pediatrician like Michael Dettorre is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS006989L
- License State
- PA
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | OS006989L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Deductible Silver 5000 $3 Generic Drugs - HMO
- Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F56040 | MEDICARE UPIN (02) | ||
| 0014126250006 | MEDICAID (05) | PA | |
| 743302 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Michael Dettorre is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336137439, enumerated as an "individual" on October 12, 2005.
The provider is located at 500 UNIVERSITY DR M.S.HERSHEY MEDICAL CENTER HERSHEY, PA 17033 and the phone number is (717) 531-5337.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
