Dawn Ennis Decotiis, FNP in Auburn, ME - Medicare Nurse Practitioner

Dawn Ennis Decotiis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Auburn, Maine. Her current practice location is 15 Gracelawn Rd, Suite 103, Auburn, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 330-3950.

Dawn Ennis Decotiis is licensed to practice in Maine (license number AP081531) 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 1184662587.

Contact Information

	Dawn Ennis Decotiis, FNP
	15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334
	(207) 330-3950
	(207) 330-3955

Map and Direction

Provider's Profile

Full Name	Dawn Ennis Decotiis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15 Gracelawn Rd, Auburn, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184662587
Provider Enumeration Date: 06/04/2006
Last Update Date: 07/04/2011

Medicare PECOS Information:

PECOS PAC ID: 9335132570
Enrollment ID: I20040405001252

Medical Identifiers

Medical identifiers for Dawn Ennis Decotiis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184662587	NPI	-	NPPES
245200099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP081531 (Maine)	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 Ennis Decotiis allows following entities to bill medicare on her behalf.

Entity Name	Convenientmd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710402359 PECOS PAC ID: 2062667033 Enrollment ID: O20180220000535

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 Ennis Decotiis 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
Dawn Ennis Decotiis, FNP Po Box 1638, Albany, NY 12201-1638 Ph: (207) 777-4111	Dawn Ennis Decotiis, FNP 15 Gracelawn Rd, Suite 103, Auburn, ME 04210-6334 Ph: (207) 330-3950

Reviews and Comments

Nurse Practitioner Nurses in Auburn, ME

Laurie Lambert, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Minot Ave, Auburn, ME 04210 Phone: 207-729-7800 Fax: 207-795-2000
Kara Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Gracelawn Rd, Auburn, ME 04210 Phone: 207-753-3080 Fax: 207-753-3088
Corinna M Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 791 Turner St Unit 2, Auburn, ME 04210 Phone: 207-330-3900 Fax: 207-330-3940
Jennifer Sullivan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Gracelawn Rd Ste 203, Auburn, ME 04210 Phone: 207-777-8959 Fax: 207-753-3093
Kelly A Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Great Falls Plz Ste 21, Auburn, ME 04210 Phone: 207-330-3950 Fax: 207-330-3955
Erin P Stone, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Stetson Rd, Auburn, ME 04210 Phone: 207-333-6300
Elise Ann K Wiley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Second Street, Auburn, ME 04210 Phone: 207-783-3333 Fax: 207-782-9723

Dawn Ennis Decotiis, FNP - Medicare Nurse Practitioner in Auburn, ME