Mark Dawson, M.D.
Individual provider Active NPI Pediatrics Physician · Rayne, LA
NPI 1043210271 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1043210271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- L013924 (LA)
- Practice address
- 717 Curtis Dr
Rayne, LA 70578-8311 - Phone
- (337) 334-7551
- Fax
- (337) 334-7556
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acadiana Pediatrics, L.L.C.
Practice addresses (Care Compare)
717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7554
Hospital & facility affiliations
- Elara Caring
- Acadian Homecare, LLC
- Acadia General Hospital
- Iberia Medical Center
- Ochsner Lafayette General Medical Center
- Ochsner American Legion Hospital
- Beauregard Memorial Hospital
- The Ellington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Acadiana Pediatrics & Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer |
May 24, 2017 May 24, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100301000954 | LA | Practitioner - Family Practice |
9032027529 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13924 | LA | MD | Social Worker |
| L013924 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Pediatrics, L.L.C. | Current |
Accepting new patients | |
| Acadiana Pediatrics, L.L.C. | Family Medicine | Current |
Accepting new patients |
| Rayne Guest Home Inc | Past | Accepting new patients | |
| Promise Hospital of Phoenix Inc | Past |
Accepting new patients |
Locations
717 Curtis Dr
Rayne, LA 70578
Phone (337) 334-7551
717 Curtis Dr
Ste A
Rayne, LA 70578
Phone (337) 334-7554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L013924 | LA | |
| Psychiatry Physician | 2084P0800X | L013924 | LA | |
| Pediatrics Physician | 208000000X | L013924 | LA | Yes |
Addresses
Primary practice location
717 Curtis Dr
Rayne, LA 70578-8311
Mailing address
717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197823 | Medicaid | LA |
Other providers in Rayne, LA
- Cypress Medical Clinic LLC
- D&X Transportation LLC
- Marcia Daigle
- Cassidy Dailey
- Marin Dawson
- DDMS of Louisiana No 2, LLC
- Danielle Kahanek Duhon
- Neal J Duhon
- Tunhi Duong
- Amy Nicole Dysart
All providers in Rayne, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.