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DR. MARLENE J DOOKHAN MD
NPI 1720166127
Obstetrics & Gynecology in Springfield, PA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
196 W SPROUL RD, SUITE 208, SPRINGFIELD, PA 19064(302) 477-9660(302) 477-9495 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marlene J Dookhan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLENE J DOOKHAN MD (NPI 1720166127) is an individual obstetrics & gynecology provider in Springfield, Pennsylvania, licensed in Pennsylvania (MD051135L) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Virginia Commonwealth University, School Of Medicine (1991).

NPPES Registry Identity

NPI1720166127
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARLENE J DOOKHANCredential: MD
Location Address196 W SPROUL RD, SUITE 208Springfield, PA 19064-2045
Mailing Address196 W Sproul Rd, Suite 208Springfield, PA 19064-2045 · (302) 477-9660 · Fax (302) 477-9495
Phone(302) 477-9660
Fax(302) 477-9495
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1991
Enumeration DateNovember 2, 2006
Last NPPES UpdateJune 16, 2014
✔ NPI 1720166127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD051135L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
196 W SPROUL RD, Springfield, PA 19064
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Other Identifiers 3

Medicare ID-Type Unspecified143747PA
Medicare UPINF85302PA
Medicaid001462645PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marlene J Dookhan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274720610
PECOS Enrollment IDI20160817002268
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE CALLAGHAN MD
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Delaware County (610) 604-0888
DR. BRIGIDA DEGUZMAN-CAM MD
Obstetrics & Gynecology
196 W SPROUL RD
SPRINGFIELD, PA 19064
Delaware County (610) 338-2715
DR. MARCIA AREM MD
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Delaware County (610) 604-0888
DR. MARGRET TROTZKY MD
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Delaware County (610) 604-0888
DR. KUMKUM AHLUWALIA MD
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Delaware County (610) 604-0888
ROCKY MARSERO ATC, LAT
Physical Medicine & Rehabilitation (Sports Medicine)
196 W SPROUL RD
SPRINGFIELD, PA 19064
Delaware County (610) 328-8830
SARAH BIXBY RDN
Dietitian, Registered
196 W SPROUL RD
SPRINGFIELD, PA 19064
Delaware County (610) 328-8919
MR. STEVEN HUDYMA ATC, PTA
Specialist/Technologist (Athletic Trainer)
196 W SPROUL RD, PAV. I SUITE 110
SPRINGFIELD, PA 19064
Delaware County (610) 328-8830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Dookhan's NPI number?

The NPI number for Marlene Dookhan is 1720166127. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Marlene Dookhan located?

Marlene Dookhan practices at 196 W Sproul Rd Suite 208, Springfield, PA 19064. The listed phone number is (302) 477-9660.

What is Marlene Dookhan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marlene Dookhan enrolled in Medicare?

Yes. Marlene Dookhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marlene Dookhan accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Marlene Dookhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marlene Dookhan affiliated with any hospitals?

According to CMS data, Marlene Dookhan is affiliated with Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for Marlene Dookhan was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.