Dawn Marie Wigutow, is a medicare enrolled "Social Worker - Clinical" provider in Lake Ronkonkoma, New York. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
27 Uhl St, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 877-9184.
Dawn Marie Wigutow is licensed to practice in New York (license number 076904-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871713065.
Healthcare Provider's Profile
Full Name | Dawn Marie Wigutow |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 18 Years |
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Location | 27 Uhl St, Lake Ronkonkoma, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dawn Marie Wigutow graduated from medical school in 2006
NPI Data:
- NPI Number: 1871713065
- Provider Enumeration Date: 04/27/2007
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315033677
- Enrollment ID: I20071017000805
Medical Identifiers
Medical identifiers for Dawn Marie Wigutow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871713065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 076904-1 (New York) | 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 Marie Wigutow allows following entities to bill medicare on her behalf.
Entity Name | Diane E Freedman Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528223401 PECOS PAC ID: 9739234337 Enrollment ID: O20090903000344 |
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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. Dawn Marie Wigutow 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 Marie Wigutow, 27 Uhl St, Lake Ronkonkoma, NY 11779-2740 Ph: (631) 877-9184 | Dawn Marie Wigutow, 27 Uhl St, Lake Ronkonkoma, NY 11779-2740 Ph: (631) 877-9184 |
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