Mr Sean Addison Dawson, LPA, LCAS is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. His current practice location is
5821 Fairview Rd Ste 106, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 826-3550.
Mr Sean Addison Dawson is licensed to practice in North Carolina (license number 5575) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568010049.
Healthcare Provider's Profile
| Full Name | Mr Sean Addison Dawson |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 5821 Fairview Rd Ste 106, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568010049
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901255421
- Enrollment ID: I20231209000310
Medical Identifiers
Medical identifiers for Mr Sean Addison Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568010049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25206 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 5575 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Sean Addison Dawson allows following entities to bill medicare on his behalf.
| Entity Name | Avance Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487845020
PECOS PAC ID: 3577634476
Enrollment ID: O20080620000196 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sean Addison Dawson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Sean Addison Dawson, LPA, LCAS
4705 University Dr Bldg 700,
Durham, NC 27707-3489
Ph: (919) 237-1337 | Mr Sean Addison Dawson, LPA, LCAS
5821 Fairview Rd Ste 106,
Charlotte, NC 28209-3649
Ph: (704) 826-3550 |
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