Dawn Wildermuth, MS CCC/SLP in North Port, FL - Medicare Speech-Language Pathologist Provider

Dawn Wildermuth, MS CCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in North Port, Florida. Her current practice location is 2574 Commerce Pkwy, North Port, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 485-0121.

Dawn Wildermuth is licensed to practice in Florida (license number SA0000934) 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 1568556033.

Contact Information

	Dawn Wildermuth, MS CCC/SLP
	2574 Commerce Pkwy, North Port, FL 34289-9334
	(941) 485-0121
	(941) 485-0591

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn Wildermuth
Gender	Female
Speciality	Speech-language Pathologist
Location	2574 Commerce Pkwy, North Port, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568556033
Provider Enumeration Date: 10/02/2006
Last Update Date: 12/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1153761150
Enrollment ID: I20240424001576

Medical Identifiers

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

Identifier	Type	State	Issuer
1568556033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA0000934 (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. Dawn Wildermuth allows following entities to bill medicare on her behalf.

Provider Name	Dah Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407325467 PECOS PAC ID: 5395078968 Enrollment ID: O20190613001242

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 Wildermuth 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 Wildermuth, MS CCC/SLP 1210 Lexington Dr., Venice, FL 34292 Ph: (941) 468-6701	Dawn Wildermuth, MS CCC/SLP 2574 Commerce Pkwy, North Port, FL 34289-9334 Ph: (941) 485-0121

Reviews and Comments

Speech-Language Pathologist in North Port, FL

Laurie Lynne Pope, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1468 Marjorie Ln, North Port, FL 34286 Phone: 941-426-3717
Shannon Leigh Lockhart, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6929 Outreach Way, North Port, FL 34287 Phone: 941-371-8820
Linda Ann Vodopija, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2151 Leryl Ave, North Port, FL 34286 Phone: 941-426-2656
Stephanie Stacey, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4698 Fernway Dr, North Port, FL 34288 Phone: 330-853-4756
Courtney Addington, M.A.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1651 Stimmel St, North Port, FL 34286 Phone: 330-546-4787
Kendra Steward, MHS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3680 Channing Ave, North Port, FL 34287 Phone: 630-761-0900 Fax: 630-761-0909
Ms. Sabrina Shipman, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1322 N Main St, North Port, FL 34286 Phone: 941-740-5338

Dawn Wildermuth, MS CCC/SLP - Medicare Speech-Language Pathologist in North Port, FL