Individual provider Active NPI

Dawn A Comrie, PA

  • Medical Physician Assistant
  • Tavares, FL
National Provider Identifier
1508853391
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102233 Issued in FL
Practice address
1840 Classique LN
Tavares, FL 32778-5748
Phone
(352) 508-5046
Fax
(352) 508-5048
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102233 FL Primary

Addresses

Primary practice location

1840 Classique LN
Tavares, FL 32778-5748

Mailing address

PO Box 1245
Tavares, FL 32778-1245
Phone (352) 508-5046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000585 FL Practitioner - Physician Assistant 9638136716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
You and Your Health Family Care IncGroup PAC ID 9335282771, 5 clinicians

Practice addresses (Care Compare)

1840 Classique Lane
Tavares, FL 32778-5748

1840 Classique LN
Tavares, FL 32778-5748
Phone (352) 508-5046

Hospital & facility affiliations

  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102233FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island College Hospital Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dawn.comrie.1@17743.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1508853391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327781245",
            "telephone_number": "352-508-5046",
            "fax_number": "352-508-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785748",
            "telephone_number": "352-508-5046",
            "fax_number": "352-508-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "DAWN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.