Dr Tedd Eugene Dawson, MD is a medicare enrolled "General Practice" physician in Willits, California. His current practice location is
1196 S Main St, Willits, California. You can reach out to his office (for appointments etc.) via phone at
(707) 459-3070.
Dr Tedd Eugene Dawson is licensed to practice in California (license number C38007) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457330680.
Physician's Profile
| Full Name | Dr Tedd Eugene Dawson |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1196 S Main St, Willits, California |
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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: 1457330680
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143388744
- Enrollment ID: I20081027000413
Medical Identifiers
Medical identifiers for Dr Tedd Eugene Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457330680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | C38007 (California) | Secondary |
| 208D00000X | General Practice | C38007 (California) | 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 Tedd Eugene Dawson allows following entities to bill medicare on his behalf.
| Entity Name | Mendocino Community Health Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
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| Entity Name | Tedd E Dawson Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730349739 PECOS PAC ID: 3678631272 Enrollment ID: O20081027000431 |
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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 Tedd Eugene Dawson 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 Tedd Eugene Dawson, MD 1196 S Main St, Willits, CA 95490-4304 Ph: (707) 459-3070 | Dr Tedd Eugene Dawson, MD 1196 S Main St, Willits, CA 95490-4304 Ph: (707) 459-3070 |
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