Mrs Dawn Marie Wilson, RD in Lacey, WA - Medicare Dietitian, Registered Provider

Mrs Dawn Marie Wilson, RD is a medicare enrolled "Dietitian, Registered" provider in Lacey, Washington. Her current practice location is 3702 Long Lake Dr Se, Lacey, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 239-9186.

Mrs Dawn Marie Wilson is licensed to practice in Washington (license number 953643) 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 1962648238.

Contact Information

	Mrs Dawn Marie Wilson, RD
	3702 Long Lake Dr Se, Lacey, WA 98503-4056
	(360) 239-9186
	(360) 464-9999

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dawn Marie Wilson
Gender	Female
Speciality	Dietitian, Registered
Location	3702 Long Lake Dr Se, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962648238
Provider Enumeration Date: 12/16/2008
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 1153460365
Enrollment ID: I20091201000646

Medical Identifiers

Medical identifiers for Mrs Dawn Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962648238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	953643 (Washington)	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. Mrs Dawn Marie Wilson allows following entities to bill medicare on her behalf.

Provider Name	Sound Nutrition Dynamics
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861822082 PECOS PAC ID: 0244555167 Enrollment ID: O20150216002058

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. Mrs Dawn Marie Wilson 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
Mrs Dawn Marie Wilson, RD 700 Sleater Kinney Rd. Se, Ste B#227, Lacey, WA 98503 Ph: (360) 239-9186	Mrs Dawn Marie Wilson, RD 3702 Long Lake Dr Se, Lacey, WA 98503-4056 Ph: (360) 239-9186

Reviews and Comments

Dietitian, Registered in Lacey, WA

Jessica Ann Allison, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977
Kathleen Eileen Harding-mendez, RDN, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 6103 37th Ln Se, Lacey, WA 98503 Phone: 360-621-4879
Kailey Cunningham, M.S., R.D.N., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se, Suite 330, Lacey, WA 98503 Phone: 888-364-5977 Fax: 360-628-5240
Ashley Caitlin Bent, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6832 26th Ct Se, Lacey, WA 98503 Phone: 360-489-2166
Jaime Elizabeth Thorpe, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977
Sound Nutrition Dynamics Dietitian Medicare: Medicare Enrolled Practice Location: 3702 Long Lake Dr Se, Lacey, WA 98503 Phone: 360-239-9186
Yakira Bergsman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 673 Woodland Square Loop Se Ste 330, Lacey, WA 98503 Phone: 888-364-5977

Mrs Dawn Marie Wilson, RD - Medicare Dietitian in Lacey, WA