Dawn M Dooley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Modena, New York. Her current practice location is
2044 Route 32, Suite 4, Modena, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 883-5176.
Dawn M Dooley is licensed to practice in New York (license number 331575) 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 1770518482.
Provider's Profile
| Full Name | Dawn M Dooley |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2044 Route 32, Modena, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1770518482
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 02/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 9830117035
- Enrollment ID: I20210125001345
Medical Identifiers
Medical identifiers for Dawn M Dooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770518482 | NPI | - | NPPES |
| 03652242 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 407982-1 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 331575 (New York) | Primary |
| 363L00000X | Nurse Practitioner | 331575 (New York) | Secondary |
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 M Dooley allows following entities to bill medicare on her behalf.
| Entity Name | St Josephs Candler Urgent Care Centers Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922580133
PECOS PAC ID: 5092058016
Enrollment ID: O20190515000494 |
|---|
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 M Dooley 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 M Dooley, FNP
1351 Route 55, Suite 200,
Lagrangeville, NY 12540-5108
Ph: (845) 475-9660 | Dawn M Dooley, FNP
2044 Route 32, Suite 4,
Modena, NY 12548
Ph: (845) 883-5176 |
Reviews and Comments