Dawn Pavli, RDN in Lakeport, CA - Medicare Dietitian, Registered Provider

Dawn Pavli, RDN is a medicare enrolled "Dietitian, Registered" provider in Lakeport, California. Her current practice location is 925 Bevins Ct, Lakeport, California. You can reach out to her office (for appointments etc.) via phone at (707) 263-8392.

Dawn Pavli is licensed to practice in Illinois (license number 86130741) 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 1649896549.

Contact Information

	Dawn Pavli, RDN
	925 Bevins Ct, Lakeport, CA 95453-9754
	(707) 263-8392
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn Pavli
Gender	Female
Speciality	Dietitian, Registered
Location	925 Bevins Ct, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649896549
Provider Enumeration Date: 06/17/2020
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 9830512680
Enrollment ID: I20200713000561

Medical Identifiers

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

Identifier	Type	State	Issuer
1649896549	NPI	-	NPPES
B6997961	Other	CA	DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86130741 (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. Dawn Pavli allows following entities to bill medicare on her behalf.

Provider Name	Lake County Tribal Health Consortium Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

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 Pavli 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 Pavli, RDN Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8382	Dawn Pavli, RDN 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8392

Reviews and Comments

Dietitian, Registered in Lakeport, CA

Kathleen E Duchene, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5007 Fax: 707-262-5145
Gemalli Austin, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382
Kim Schott, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 831 Bevins St, Lakeport, CA 95453 Phone: 707-263-5253
Katia Zogg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-533-2740
Joan Devito, R.D.,C.D.E. Dietitian Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019

Dawn Pavli, RDN - Medicare Dietitian in Lakeport, CA