Dawn A Fairley, DO is a medicare enrolled "Family Medicine" physician in Unionville, Missouri. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1985 and has 40 years of diverse experience with area of expertise as Family Practice. Her current practice location is
103 S 18th St, Unionville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 947-2300.
Dawn A Fairley is licensed to practice in Missouri (license number 2006023529) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801832373.
Physician's Profile
| Full Name | Dawn A Fairley |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 40 Years |
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| Location | 103 S 18th St, Unionville, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dawn A Fairley attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1985
NPI Data:
- NPI Number: 1801832373
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 04/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 7416842323
- Enrollment ID: I20070110000077
Medical Identifiers
Medical identifiers for Dawn A Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801832373 | NPI | - | NPPES |
| 207348905 | Medicaid | MO | |
| 0019478700001 | Medicaid | PA | |
| 961950085 | Other | MO | MEDICARE ID - TYPE UNSPECIFIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS012469 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 2006023529 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 20A 7187 (California) | Secondary |
| 207Q00000X | Family Medicine | OS 9881 (Florida) | Secondary |
Medical Facilities Affiliation
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 A Fairley allows following entities to bill medicare on her behalf.
| Entity Name | Scotland County Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1083624647
PECOS PAC ID: 8224940366
Enrollment ID: O20140226001733 |
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| Entity Name | Putnam County Medical Home Clinics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437600657
PECOS PAC ID: 5496034936
Enrollment ID: O20161128001132 |
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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 A Fairley 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 A Fairley, DO
103 S 18th St,
Unionville, MO 63565-1642
Ph: (660) 947-2300 | Dawn A Fairley, DO
103 S 18th St,
Unionville, MO 63565-1642
Ph: (660) 947-2300 |
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