Dr Dawn Marie Craddock, FNP-C in Pontiac, MI - Medicare Nurse Practitioner

Dr Dawn Marie Craddock, FNP-C is a medicare enrolled "Nurse Practitioner" in Pontiac, Michigan. Her current practice location is 461 W Huron St Ste 406, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 229-7812.

Dr Dawn Marie Craddock is licensed to practice in Michigan (license number 4704284552) 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 1174043020.

Contact Information

	Dr Dawn Marie Craddock, FNP-C
	461 W Huron St Ste 406, Pontiac, MI 48341-1601
	(586) 229-7812
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Dawn Marie Craddock
Gender	Female
Speciality	Nurse Practitioner
Location	461 W Huron St Ste 406, Pontiac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174043020
Provider Enumeration Date: 06/22/2017
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9133593031
Enrollment ID: I20230315003151

Medical Identifiers

Medical identifiers for Dr Dawn Marie Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174043020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704284552 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704284552 (Michigan)	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 Marie Craddock allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Care Solutions For Adults And Seniors Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154727147 PECOS PAC ID: 4880918051 Enrollment ID: O20150116000266

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 Marie Craddock 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 Marie Craddock, FNP-C Po Box 182433, Shelby Township, MI 48318-2433 Ph: (586) 229-7812	Dr Dawn Marie Craddock, FNP-C 461 W Huron St Ste 406, Pontiac, MI 48341-1601 Ph: (586) 229-7812

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, MI

Marilyn Chandross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3700
Carol D Wilkinson, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6954 Fax: 248-858-3067
Mrs. Dorothy Helen Rodriguez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5210 Fax: 248-338-5584
Cristiana Gherasim, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Baldwin Ave Ste 400, Pontiac, MI 48340 Phone: 248-977-3758
Elsina John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-605-3502
Ms. Carly Lynn Kassa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5645 Fax: 248-338-5547
Ariola Cacaj Dixon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 Fax: 248-581-8716

Dr Dawn Marie Craddock, FNP-C - Medicare Nurse Practitioner in Pontiac, MI