Mrs Dawn Marie Jaquish, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Mc Coy, Florida. Her current practice location is
15035 Ne Highway 315, Fort Mc Coy, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 236-2525.
Mrs Dawn Marie Jaquish is licensed to practice in Florida (license number 11019547) 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 1811632607.
Provider's Profile
Full Name | Mrs Dawn Marie Jaquish |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 15035 Ne Highway 315, Fort Mc Coy, 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: 1811632607
- Provider Enumeration Date: 05/05/2022
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103201785
- Enrollment ID: I20220919000027
Medical Identifiers
Medical identifiers for Mrs Dawn Marie Jaquish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811632607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 11019547 (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. Mrs Dawn Marie Jaquish allows following entities to bill medicare on her behalf.
Entity Name | Physicians Care Of Key Stone |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154512432 PECOS PAC ID: 8123097680 Enrollment ID: O20040930000871 |
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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. Mrs Dawn Marie Jaquish 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 Jaquish, FNP-C 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Mrs Dawn Marie Jaquish, FNP-C 15035 Ne Highway 315, Fort Mc Coy, FL 32134-2200 Ph: (352) 236-2525 |
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