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: November 01, 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
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

Other Identifiers 3

Medicare ID-Type Unspecified143747PA
Medicare UPINF85302PA
Medicaid001462645PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marlene Dookhan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Obstetrics & Gynecology
196 W SPROUL RD
SPRINGFIELD, PA 19064
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Pediatrics
196 W SPROUL RD, HEALTHPLEX SUITE 205
SPRINGFIELD, PA 19064
Physical Medicine & Rehabilitation (Sports Medicine)
196 W SPROUL RD
SPRINGFIELD, PA 19064
Dietitian, Registered
196 W SPROUL RD
SPRINGFIELD, PA 19064
Specialist/Technologist (Athletic Trainer)
196 W SPROUL RD, PAV. I SUITE 110
SPRINGFIELD, PA 19064

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.

Which organizations bill Medicare for Marlene Dookhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Dookhan reassigns Medicare benefits to 2 organizations: Ob Hospitalist Group LLC (Jacksonville, FL) and Dhp Of Manatee PA (Mangonia Park, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlene Dookhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlene Dookhan accept?

Health plans from Oscar Health, 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.