Shirley J Dawson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Green Lake, Wisconsin. Her current practice location is
571 County Road A, Green Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 294-4070.
Shirley J Dawson is licensed to practice in Wisconsin (license number 32276-020) 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 1558301580.
Physician's Profile
| Full Name | Shirley J Dawson |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 571 County Road A, Green Lake, Wisconsin |
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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: 1558301580
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 03/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315049954
- Enrollment ID: I20070228000128
Medical Identifiers
Medical identifiers for Shirley J Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558301580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 32276-020 (Wisconsin) | 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. Shirley J Dawson allows following entities to bill medicare on her behalf.
| Entity Name | County Of Green Lake |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780867408
PECOS PAC ID: 6507881265
Enrollment ID: O20051011001149 |
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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. Shirley J 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 |
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Shirley J Dawson, MD
571 County Road A, Po Box 588,
Green Lake, WI 54941-8630
Ph: (920) 294-4070 | Shirley J Dawson, MD
571 County Road A,
Green Lake, WI 54941-8630
Ph: (920) 294-4070 |
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