Ms Dallarie Jamison, CRNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Dothan, Alabama. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
201 Regency Ct, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 673-8869.
Ms Dallarie Jamison is licensed to practice in Alabama (license number CP.17240) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083079453.
Provider's Profile
| Full Name | Ms Dallarie Jamison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 201 Regency Ct, Dothan, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Dallarie Jamison graduated from nursing school in 2015
NPI Data:
- NPI Number: 1083079453
- Provider Enumeration Date: 12/29/2015
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173822335
- Enrollment ID: I20160422001086
Medical Identifiers
Medical identifiers for Ms Dallarie Jamison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083079453 | NPI | - | NPPES |
| 205760 | Medicaid | AL | |
| 774089000 | Other | | MAGELLAN |
| 0348462 | Other | | CIGNA |
| 1083079453 | Other | | NPI |
| 19C1R | Other | | NEW DIRECTIONS |
| 51521565 | Other | AL | BCBS |
| 003194200C | Medicaid | GA | |
| 1080690 | Other | | BEACON |
| 010838800 | Medicaid | FL | |
| 1013117167 | Other | | NPI |
| 407098142C | Medicaid | GA | |
| 188102 | Medicaid | AL | |
| 523314 | Other | | VALUE OPTIONS |
| 601701400 | Other | | DOL |
| 010838800 | Medicaid | AL | |
| 229432 | Medicaid | AL | |
| Q6YNL | Other | | FLORIDA BLUE |
| 13804050 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1-127798 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | RN209490 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | 9475102 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | RN209490 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9475102 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | CP.17240 (Alabama) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 1-127798 (Alabama) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | RN209490 (Georgia) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 9475102 (Florida) | Secondary |
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. Ms Dallarie Jamison allows following entities to bill medicare on her behalf.
| Entity Name | Wiregrass Wellness Center, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013117167
PECOS PAC ID: 9234106147
Enrollment ID: O20040910001105 |
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| Entity Name | Dothan Spine & Specialty LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104282292
PECOS PAC ID: 1557668365
Enrollment ID: O20160322001859 |
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| Entity Name | Jamison Behavioral Wellness LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194353672
PECOS PAC ID: 3971933458
Enrollment ID: O20200423003498 |
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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. Ms Dallarie Jamison 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 |
|---|
Ms Dallarie Jamison, CRNP
Po Box 8308,
Dothan, AL 36304-0308
Ph: (334) 673-8869 | Ms Dallarie Jamison, CRNP
201 Regency Ct,
Dothan, AL 36305-1179
Ph: (334) 673-8869 |
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