Mrs Dawn Marie Jaquish, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Mc Coy, Florida. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Starke Family Medical Center Inc, Florida Medical Associates Llc, Lake Area Physical Therapy Inc. and 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
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 4 Years |
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| Location | 15035 Ne Highway 315, Fort Mc Coy, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Dawn Marie Jaquish graduated from nursing school in 2022
NPI Data:
- NPI Number: 1811632607
- Provider Enumeration Date: 05/05/2022
- Last Update Date: 07/14/2025
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 |
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| 363LF0000X | Nurse Practitioner - Family | 11019547 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Starke Family Medical Center Inc | 0143207704 | 12 |
| Florida Medical Associates Llc | 0648271155 | 191 |
| Lake Area Physical Therapy Inc. | 3678604840 | 374 |
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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