Dawn Blocklinger Campos, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Colona, Illinois. Her current practice location is
622 Mineral Creek Dr, Colona, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 738-5354.
Dawn Blocklinger Campos is licensed to practice in Illinois (license number 164001733) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558661066.
Healthcare Provider's Profile
| Full Name | Dawn Blocklinger Campos |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 622 Mineral Creek Dr, Colona, Illinois |
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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: 1558661066
- Provider Enumeration Date: 10/31/2010
- Last Update Date: 10/31/2010
Medicare PECOS Information:
- PECOS PAC ID: 6507301686
- Enrollment ID: I20240712002590
Medical Identifiers
Medical identifiers for Dawn Blocklinger Campos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558661066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 164001733 (Illinois) | Primary |
| 133V00000X | Dietitian, Registered | 001848 (Iowa) | Secondary |
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. Dawn Blocklinger Campos allows following entities to bill medicare on her behalf.
| Provider Name | Hy-vee Health Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629844568
PECOS PAC ID: 1254701618
Enrollment ID: O20240102002445 |
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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. Dawn Blocklinger Campos 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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Dawn Blocklinger Campos, RD, LDN
622 Mineral Creek Dr,
Colona, IL 61241-8638
Ph: (309) 738-5354 | Dawn Blocklinger Campos, RD, LDN
622 Mineral Creek Dr,
Colona, IL 61241-8638
Ph: (309) 738-5354 |
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