Ms Dawn Marie Aycock, APRN-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Old Town, Florida. Her current practice location is
520 Ne 542nd St, Old Town, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 537-0644.
Ms Dawn Marie Aycock is licensed to practice in Florida (license number APRN3191812) 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 1962772103.
Provider's Profile
Full Name | Ms Dawn Marie Aycock |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 520 Ne 542nd St, Old Town, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962772103
- Provider Enumeration Date: 01/05/2012
- Last Update Date: 07/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709046204
- Enrollment ID: I20120320000839
Medical Identifiers
Medical identifiers for Ms Dawn Marie Aycock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962772103 | NPI | - | NPPES |
004615000 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | ARNP3191812 (Florida) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | APRN3191812 (Florida) | 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. Ms Dawn Marie Aycock allows following entities to bill medicare on her behalf.
Entity Name | Dr Phillips Medical Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225549603 PECOS PAC ID: 7810254109 Enrollment ID: O20171121001809 |
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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. Ms Dawn Marie Aycock 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 |
Ms Dawn Marie Aycock, APRN-C 520 Ne 542nd St, Old Town, FL 32680-3818 Ph: (863) 537-0644 | Ms Dawn Marie Aycock, APRN-C 520 Ne 542nd St, Old Town, FL 32680-3818 Ph: (863) 537-0644 |
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