Dr Audrey Mae N Rawson, DDS - Medicare Dentist in Albuquerque, NM

Dr Audrey Mae N Rawson, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Albuquerque, New Mexico. Her current practice location is 4620 Jefferson Ln Ne Ste C, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 888-3520.

Dr Audrey Mae N Rawson is licensed to practice in New Mexico (license number DD5246) 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 1215290390.

Contact Information

Dr Audrey Mae N Rawson, DDS
4620 Jefferson Ln Ne Ste C,
Albuquerque, NM 87109-2149
(505) 888-3520
Not Available



Healthcare Provider's Profile

Full NameDr Audrey Mae N Rawson
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location4620 Jefferson Ln Ne Ste C, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215290390
  • Provider Enumeration Date: 06/22/2012
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698008217
  • Enrollment ID: I20190612002982

Medical Identifiers

Medical identifiers for Dr Audrey Mae N Rawson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215290390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry DD5246 (New Mexico)Primary
122300000XDentist 2646 (Hawaii)Secondary
1223P0221XDentist - Pediatric Dentistry DT-2646 (Hawaii)Secondary
1223P0221XDentist - Pediatric Dentistry DD4404 (New Mexico)Secondary
1223P0221XDentist - Pediatric Dentistry 2646 (Hawaii)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. Dr Audrey Mae N Rawson allows following entities to bill medicare on her behalf.
Entity NameWaianae District Comprehensive Health And Hospital Board, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275566424
PECOS PAC ID: 9931008349
Enrollment ID: O20040105000833

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Entity NameWest Hawaii Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952335630
PECOS PAC ID: 1557389400
Enrollment ID: O20051109000287

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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 Audrey Mae N Rawson 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 AddressPractice Location Address
Dr Audrey Mae N Rawson, DDS
4620 Jefferson Ln Ne Ste C,
Albuquerque, NM 87109-2149

Ph: (505) 888-3520
Dr Audrey Mae N Rawson, DDS
4620 Jefferson Ln Ne Ste C,
Albuquerque, NM 87109-2149

Ph: (505) 888-3520

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Dentist in Albuquerque, NM

Dr. Shane Thomas Clark, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 2800 Coors Blvd Nw, Albuquerque, NM 87120
Phone: 505-352-1166    
Dan Lafferty Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4550 Eubank Blvd Ne Ste 101, Albuquerque, NM 87111
Phone: 505-292-8588    Fax: 505-292-3100
Dr. Stephanie Ashley Padilla, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3809 Eubank Blvd Ne, Albuquerque, NM 87111
Phone: 505-292-2323    Fax: 855-287-5765
Dr. William C Gardner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8200 Carmel Ave Ne Ste 101, Albuquerque, NM 87122
Phone: 505-828-2669    Fax: 505-828-2716
Dr. Hunter Lee Mortley, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 7510 Montgomery Blvd Ne, #206, Albuquerque, NM 87109
Phone: 505-881-1998    
Shu-ching Catherine Chang, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5721 Fourth Street Nw, Albuquerque, NM 87107
Phone: 505-345-0515    Fax: 505-345-2418
Dr. Joyce Ann Jeffries, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 9674 Eagle Ranch Rd Nw, Suite 1, Albuquerque, NM 87114
Phone: 505-348-0087    Fax: 505-796-5155

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