Dr Holly Jean Dawson, DO is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Fort Gibson, Oklahoma. She went to Ohio Medical University and graduated in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Kittitas County Public Hospital Dist 1, Capital Medical Center Specialty Physicians Llc and her current practice location is
108 Lone Oak Cir, Fort Gibson, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 478-6005.
Dr Holly Jean Dawson is licensed to practice in Oklahoma (license number 4942) 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 1265761381.
Physician's Profile
| Full Name | Dr Holly Jean Dawson |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 13 Years |
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| Location | 108 Lone Oak Cir, Fort Gibson, Oklahoma |
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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:
- Dr Holly Jean Dawson attended and graduated from Ohio Medical University in 2011
NPI Data:
- NPI Number: 1265761381
- Provider Enumeration Date: 12/19/2009
- Last Update Date: 01/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830369099
- Enrollment ID: I20190620001456
Medical Identifiers
Medical identifiers for Dr Holly Jean Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265761381 | NPI | - | NPPES |
| 4942 | Other | OK | OK LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 4942 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kittitas County Public Hospital Dist 1 | 0547179608 | 63 |
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 68 |
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. Dr Holly Jean Dawson allows following entities to bill medicare on her behalf.
| Entity Name | Kittitas County Public Hospital Dist 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356375307
PECOS PAC ID: 0547179608
Enrollment ID: O20040213000046 |
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| Entity Name | Capital Medical Center Specialty Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760785281
PECOS PAC ID: 2567651771
Enrollment ID: O20110104000592 |
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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. Dr Holly Jean 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 |
|---|
Dr Holly Jean Dawson, DO
6600 S Yale Ave Ste 1200,
Tulsa, OK 74136-3361
Ph: (918) 488-6045 | Dr Holly Jean Dawson, DO
108 Lone Oak Cir,
Fort Gibson, OK 74434
Ph: (918) 478-6005 |
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