Dawn Marie Wolak, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Smyrna, Georgia. Her current practice location is
3903 S Cobb Dr Se, Suite 110, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 778-6532.
Dawn Marie Wolak is licensed to practice in South Carolina (license number 18721) 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 1093815235.
Physician's Profile
| Full Name | Dawn Marie Wolak |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 3903 S Cobb Dr Se, Smyrna, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093815235
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 3274530274
- Enrollment ID: I20211229000177
Medical Identifiers
Medical identifiers for Dawn Marie Wolak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093815235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN184200 (Georgia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 18721 (South Carolina) | 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 Wolak allows following entities to bill medicare on her behalf.
| Entity Name | Ppcp Specialty Physicians , Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780123984 PECOS PAC ID: 2466723028 Enrollment ID: O20170801001865 |
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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 Wolak 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 Wolak, ANP-BC 8744 Alexandria Dr, North Charleston, SC 29420-7812 Ph: (843) 412-1133 | Dawn Marie Wolak, ANP-BC 3903 S Cobb Dr Se, Suite 110, Smyrna, GA 30080-6342 Ph: (404) 778-6532 |
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