Jess Daniel Dawdy, in Santa Rosa, CA - Medicare Nurse Practitioner

Jess Daniel Dawdy, is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Anderson Valley Health Center and his current practice location is 3883 Airway Dr Ste 202, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 521-7777.

Jess Daniel Dawdy is licensed to practice in California (license number 95018004) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154095818.

Contact Information

	Jess Daniel Dawdy,
	3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671
	(707) 521-7777
	(707) 573-5426

Map and Direction

Provider's Profile

Full Name	Jess Daniel Dawdy
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3883 Airway Dr Ste 202, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jess Daniel Dawdy graduated from nursing school in 2021

NPI Data:

NPI Number: 1154095818
Provider Enumeration Date: 08/05/2021
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9133506421
Enrollment ID: I20220505002029

Medical Identifiers

Medical identifiers for Jess Daniel Dawdy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154095818	NPI	-	NPPES
NP95018004	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95018004 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Ukiah Valley	Ukiah, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anderson Valley Health Center	4789628272	5

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. Jess Daniel Dawdy allows following entities to bill medicare on his behalf.

Entity Name	Anderson Valley Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568449304 PECOS PAC ID: 4789628272 Enrollment ID: O20090720000025

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. Jess Daniel Dawdy 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
Jess Daniel Dawdy, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (707) 521-7777	Jess Daniel Dawdy, 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 Ph: (707) 521-7777

Reviews and Comments

Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784
Sophia Rose Wuest, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Lombardi Ct, Santa Rosa, CA 95407 Phone: 707-303-3600
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478

Jess Daniel Dawdy, - Medicare Nurse Practitioner in Santa Rosa, CA