Dawn Jackovich, MSN, FNP is a medicare enrolled "Family Medicine" physician in Ishpeming, Michigan. Her current practice location is
901 Lakeshore Dr, Ishpeming, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 485-2858.
Dawn Jackovich is licensed to practice in Michigan (license number 4704200910) 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 1952166340.
Physician's Profile
| Full Name | Dawn Jackovich |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 901 Lakeshore Dr, Ishpeming, Michigan |
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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: 1952166340
- Provider Enumeration Date: 02/15/2024
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921446030
- Enrollment ID: I20240409003292
Medical Identifiers
Medical identifiers for Dawn Jackovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952166340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4704200910 (Michigan) | 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. Dawn Jackovich allows following entities to bill medicare on her behalf.
| Entity Name | Acquisition Bell Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699101345
PECOS PAC ID: 3971730987
Enrollment ID: O20140311000227 |
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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 Jackovich 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 Jackovich, MSN, FNP
145 Prospect St,
Ishpeming, MI 49849-2623
Ph: (906) 869-6584 | Dawn Jackovich, MSN, FNP
901 Lakeshore Dr,
Ishpeming, MI 49849-1367
Ph: (906) 485-2858 |
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