Dr Heather Jean Dawson, PHD is a medicare enrolled "Psychologist" provider in Shirley, New York. Her current practice location is
123 Johns Neck Rd, Shirley, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 886-3773.
Dr Heather Jean Dawson is licensed to practice in New York (license number 013054) 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 1952490955.
Healthcare Provider's Profile
| Full Name | Dr Heather Jean Dawson |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 123 Johns Neck Rd, Shirley, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952490955
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173415759
- Enrollment ID: I20040329000022
Medical Identifiers
Medical identifiers for Dr Heather Jean Dawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952490955 | NPI | - | NPPES |
| 0245862C | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 013054 (New York) | 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 Heather Jean Dawson allows following entities to bill medicare on her behalf.
| Entity Name | Stony Brook Psychiatric Associates University Faculty Practice Corpor |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437105905
PECOS PAC ID: 7315836731
Enrollment ID: O20040313000174 |
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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. Dr Heather Jean Dawson 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 Heather Jean Dawson, PHD
1336-1338 Dekalb Avenue,
Brooklyn, NY 11221-3305
Ph: (212) 886-3773 | Dr Heather Jean Dawson, PHD
123 Johns Neck Rd,
Shirley, NY 11967-4100
Ph: (212) 886-3773 |
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