Mary T Dazey, CNM - Medicare Advanced Practice Midwife in Valdosta, GA

Mary T Dazey, CNM is a medicare enrolled "Advanced Practice Midwife" in Valdosta, Georgia. Her current practice location is 220 Northside Drive, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 241-2800.

Mary T Dazey is licensed to practice in Georgia (license number R079997) 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 1871679571.

Contact Information

Mary T Dazey, CNM
220 Northside Drive,
Valdosta, GA 31602
(229) 241-2800
(229) 241-0454



Provider's Profile

Full NameMary T Dazey
GenderFemale
SpecialityAdvanced Practice Midwife
Location220 Northside Drive, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871679571
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 08/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3678759818
  • Enrollment ID: I20110524000061

Medical Identifiers

Medical identifiers for Mary T Dazey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871679571NPI-NPPES
00534465DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife R079997 (Georgia)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. Mary T Dazey allows following entities to bill medicare on her behalf.
Entity NameSouthern Ob Gyn Associates P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801951454
PECOS PAC ID: 8729059043
Enrollment ID: O20040802000950

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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. Mary T Dazey 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
Mary T Dazey, CNM
220 Northside Drive,
Valdosta, GA 31602

Ph: (229) 241-2800
Mary T Dazey, CNM
220 Northside Drive,
Valdosta, GA 31602

Ph: (229) 241-2800

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Advanced Practice Midwife Nurses in Valdosta, GA

Genevieve E. Delk, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2601 Bemiss Rd, Suite A, Valdosta, GA 31602
Phone: 229-242-6677    Fax: 229-242-1870
Ashley Barker, CMN
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 220 Northside Dr, Valdosta, GA 31602
Phone: 229-241-2800    Fax: 229-245-0888
Mrs. Michelle Lynn Shifflett, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 814 Northwood Park Dr, Valdosta, GA 31602
Phone: 229-262-6810    
Deborah Crews, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 220 Northside Drive, Valdosta, GA 31602
Phone: 229-241-2800    Fax: 229-241-0454
Vickie D Hankla, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 220 Northside Drive, Valdosta, GA 31602
Phone: 229-241-2800    Fax: 229-241-0454
Stacey C Reid, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 220 Northside Dr, Valdosta, GA 31602
Phone: 229-241-2800    Fax: 229-241-0454
Teresa W Johnson, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 220 Northside Dr, Valdosta, GA 31602
Phone: 229-241-2800    Fax: 229-241-0454

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