Kacie L Dawson, AGPCNP in Springfield, IL - Medicare Nurse Practitioner

Kacie L Dawson, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Springfield, Illinois. Her current practice location is 319 E Madison St Ste 1f, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-8000.

Kacie L Dawson is licensed to practice in Illinois (license number 209.025658) 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 1962123646.

Contact Information

	Kacie L Dawson, AGPCNP
	319 E Madison St Ste 1f, Springfield, IL 62701-3118
	(217) 545-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kacie L Dawson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	319 E Madison St Ste 1f, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962123646
Provider Enumeration Date: 09/09/2022
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6709262041
Enrollment ID: I20221010002846

Medical Identifiers

Medical identifiers for Kacie L Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962123646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.025658 (Illinois)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	209.025658 (Illinois)	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. Kacie L Dawson allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Kacie L 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
Kacie L Dawson, AGPCNP Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000	Kacie L Dawson, AGPCNP 319 E Madison St Ste 1f, Springfield, IL 62701-3118 Ph: (217) 545-8000

Reviews and Comments

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Kacie L Dawson, AGPCNP - Medicare Nurse Practitioner in Springfield, IL