Individual provider Active NPI

Erin Dawicki, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1952584815
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA2424 Issued in MA
Practice address
300 Longwood Ave
Fegan 2
Boston, MA 02115-5724
Phone
(617) 355-5695
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA2424 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Fegan 2
Boston, MA 02115-5724

Mailing address

150 Huntington Ave
Boston, MA 02115-4808
Phone (617) 355-5695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20081118000255 MA Practitioner - Physician Assistant 5890855076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Practice addresses (Care Compare)

399 Boylston St
Boston, MA 02116-3305
Phone (857) 384-6986

80 Summer St
Suite 1
Boston, MA 02110-1218
Phone (617) 865-2749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA2424MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
Plymouth Bay Orthopedic Associates Inc. CurrentSince Jul 6, 2015 Accepting new patients

Locations

95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400

41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1952584815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021154808",
            "telephone_number": "617-355-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FEGAN 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWICKI",
        "first_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "MA2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.