Question 1

What type of a medical provider is Fred David Dodge?

Accepted Answer

Fred David Dodge is a Clinical Social Worker.

Question 2

Where does Fred David Dodge practice medicine?

Accepted Answer

Fred David Dodge has the following practice address:2650 S EAGLE RD, MERIDIAN, ID 83642-6725

Question 3

Does this provider have a license number?

Accepted Answer

Fred David Dodge has the following license number: License Number LCSW-40095 issued in Idaho.

Question 4

Does Fred David Dodge accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Fred David Dodge have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Fred David Dodge a member of any Medical Groups?

Accepted Answer

Fred David Dodge is affiliated with one medical group in the MERIDIAN area, IDAHO TMS.

Question 7

Does Fred David Dodge participate in PECOS?

Accepted Answer

Yes, Fred David Dodge participates in PECOS.

Question 8

What phone number can I call to contact Fred David Dodge?

Accepted Answer

You can call the following number: (986)-200-4290

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Fred David Dodge.

Question 10

Is Fred David Dodge  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 3 years ago (5/4/2022).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20220906002551
PECOS Individual PAC ID:	5698159994
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	-
Eligible to order/refer Power Mobility Devices (PMD)	-

Fred David Dodge

Overview