Dr Dawn C Allicock, MD,MPH is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in St Augustine, Florida. Her current practice location is
200 San Sebastian Vw, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 209-3250.
Dr Dawn C Allicock is licensed to practice in Florida (license number ME73935) 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 1356314975.
Physician's Profile
Full Name | Dr Dawn C Allicock |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 200 San Sebastian Vw, St Augustine, Florida |
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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: 1356314975
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 07/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 3971583469
- Enrollment ID: I20040724000004
Medical Identifiers
Medical identifiers for Dr Dawn C Allicock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356314975 | NPI | - | NPPES |
255487900 | Medicaid | FL | |
P00160530 | Other | FL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | ME73935 (Florida) | 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. Dr Dawn C Allicock allows following entities to bill medicare on her behalf.
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023081932 PECOS PAC ID: 3072424282 Enrollment ID: O20040724000002 |
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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. Dr Dawn C Allicock 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 |
Dr Dawn C Allicock, MD,MPH 200 San Sebastian Vw, St Augustine, FL 32084-8695 Ph: (904) 209-3250 | Dr Dawn C Allicock, MD,MPH 200 San Sebastian Vw, St Augustine, FL 32084-8695 Ph: (904) 209-3250 |
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