Dawn Terie Ploucher, APRN - Medicare Nurse Practitioner in Smyrna, DE

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Dawn Terie Ploucher, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Smyrna, Delaware. Her current practice location is 74 E Glenwood Ave # 295, Smyrna, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 513-1913.

Dawn Terie Ploucher is licensed to practice in Delaware (license number L8-0010356) 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 1316668049.

Contact Information

Dawn Terie Ploucher, APRN
74 E Glenwood Ave # 295,
Smyrna, DE 19977-1002
(302) 513-1913
Not Available

Map and Direction




Provider's Profile

Full NameDawn Terie Ploucher
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location74 E Glenwood Ave # 295, Smyrna, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316668049
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143696062
  • Enrollment ID: I20221018002390

Medical Identifiers

Medical identifiers for Dawn Terie Ploucher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316668049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 838533 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP026396 (Pennsylvania)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AC005299 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health L8-0010356 (Delaware)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 Terie Ploucher allows following entities to bill medicare on her behalf.
Entity NameChristiana Care Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770568107
PECOS PAC ID: 9739097569
Enrollment ID: O20031201000477
Entity NameVista Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659452027
PECOS PAC ID: 5597743344
Enrollment ID: O20070222000262
Entity NameSun Behavioral Delaware Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891213179
PECOS PAC ID: 3072878867
Enrollment ID: O20190107000059
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230504000064

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 Terie Ploucher 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 AddressPractice Location Address
Dawn Terie Ploucher, APRN
139 E Pembrooke Dr,
Smyrna, DE 19977-4006

Ph: (302) 494-9846		Dawn Terie Ploucher, APRN
74 E Glenwood Ave # 295,
Smyrna, DE 19977-1002

Ph: (302) 513-1913

Reviews and Comments


Nurse Practitioner Nurses in Smyrna, DE

Mrs. Jo Ann Marie Baker, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 315 N Carters Rd, Smyrna, DE 19977
Phone: 302-653-1281    
Janice Kpaka,
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Practice Location: 51 Deak Dr, Smyrna, DE 19977
Phone: 347-938-4601    
Mrs. Amanda Jamieson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 S Main St, Suite Number 205, Smyrna, DE 19977
Phone: 302-653-6022    
Stephanie D. Johnson, FNP-C, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 229 N. Main Street, Suite 207, Smyrna, DE 19977
Phone: 302-378-8395    Fax: 302-883-8395
Miss Angela Barone, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3034 S Dupont Blvd, Smyrna, DE 19977
Phone: 302-653-5085    
Kathleen Gustafson, FNP
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Practice Location: 1181 Paddock Rd, Smyrna, DE 19977
Phone: 302-653-9261    
Amelia Doe Clarke, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1181 Paddock Rd, Smyrna, DE 19977
Phone: 302-653-9561    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.