Kajal Prem Dhawan, FNP-BC in Richland, MS - Medicare Nurse Practitioner

Kajal Prem Dhawan, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Richland, Mississippi. Her current practice location is 907 Us 49, Richland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 374-5263.

Kajal Prem Dhawan is licensed to practice in Mississippi (license number 906954) 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 1548087141.

Contact Information

	Kajal Prem Dhawan, FNP-BC
	907 Us 49, Richland, MS 39218
	(601) 374-5263
	Not Available

Map and Direction

Provider's Profile

Full Name	Kajal Prem Dhawan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	907 Us 49, Richland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548087141
Provider Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 3274065933
Enrollment ID: I20241018002007

Medical Identifiers

Medical identifiers for Kajal Prem Dhawan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548087141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906954 (Mississippi)	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. Kajal Prem Dhawan allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Kajal Prem Dhawan 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
Kajal Prem Dhawan, FNP-BC 4 Mill Wood Cir, Vicksburg, MS 39180-1344 Ph: () -	Kajal Prem Dhawan, FNP-BC 907 Us 49, Richland, MS 39218 Ph: (601) 374-5263

Reviews and Comments

Nurse Practitioner Nurses in Richland, MS

Laquana Daniels, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Rhemann Blvd, Richland, MS 39218 Phone: 601-248-5198
Denisa Broome Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 907 Us 49, Richland, MS 39218 Phone: 601-374-5263
Mr. James A Marx, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437
Ashley Smith Allen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 Phone: 769-233-7141
Darby Raybourn Wade, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 128 Riverview Dr, Richland, MS 39218 Phone: 601-326-1960 Fax: 601-326-1706
Carrington Albernise Sallie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 Highway 49 S, Richland, MS 39218 Phone: 601-374-5263
Linda Nell Hunter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S Ste 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-664-0006

Kajal Prem Dhawan, FNP-BC - Medicare Nurse Practitioner in Richland, MS