Dawson Integrative Medical Center Llc is a medicare enrolled "Clinic/center - Primary Care" provider in Orlando, Florida. Their current practice location is
10244 E Colonial Dr Ste 204, Orlando, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 777-2673.
Dawson Integrative Medical Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dawson Integrative Medical Center Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1679152979.
Healthcare Provider's Profile
| Full Name | Dawson Integrative Medical Center Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 10244 E Colonial Dr Ste 204, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679152979
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042603193
- Enrollment ID: O20220715000668
Medical Identifiers
Medical identifiers for Dawson Integrative Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679152979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dawson Integrative Medical Center Llc acts as a billing entity for following providers:
| Provider Name | Meagan Burgess |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1891261863
PECOS PAC ID: 6103163787
Enrollment ID: I20190122001332 |
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| Provider Name | Angela Windom O'donnell |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1033540463
PECOS PAC ID: 3678701042
Enrollment ID: I20220322003214 |
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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. Dawson Integrative Medical Center Llc 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 |
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Dawson Integrative Medical Center Llc
10244 E Colonial Dr Ste 204,
Orlando, FL 32817-4338
Ph: (407) 777-2673 | Dawson Integrative Medical Center Llc
10244 E Colonial Dr Ste 204,
Orlando, FL 32817-4338
Ph: (407) 777-2673 |
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