Nicole Dawson, is a
Student In An Organized Health Care Education/training Program based in San Bernardino, California. Nicole Dawson is licensed to practice in * (Not Available) (license number ) and her current practice location is
686 E Mill St, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 798-8582.
NPI number for Nicole Dawson is 1770963803 and her current mailing address is 686 E Mill St, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770963803.
Healthcare Provider's Profile
| Full Name | Nicole Dawson |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 686 E Mill St, San Bernardino, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770963803
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 09/11/2020
Medical Identifiers
Medical identifiers for Nicole Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770963803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Nicole Dawson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Dawson,
686 E Mill St,
San Bernardino, CA 92415-0649
Ph: (909) 798-8570 | Nicole Dawson,
686 E Mill St,
San Bernardino, CA 92415-4898
Ph: (909) 798-8582 |
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