DAWN SANDERSON MA, CCC-SLP
NPI 1649337080
Speech-Language Pathologist in Asheville, NC
NPI Status: Active since January 03, 2007
Contact Information
856 SWEETEN CREEK RD STE F
ASHEVILLE, NC
ZIP 28803
Phone: (828) 684-7337
Fax: (828) 684-7339
- Individual
- Female
- Years of Experience 26
- Speech-Language Pathologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About DAWN SANDERSON
This page provides the complete NPI Profile along with additional information for Dawn Sanderson, a provider established in Asheville, North Carolina with a medical specialization in Speech-language Pathologist and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1649337080 assigned on January 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 5530 (NC). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1649337080
- Provider Name
- DAWN SANDERSON MA, CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 856 SWEETEN CREEK RD STE F ASHEVILLE, NC 28803
- Location Phone
- (828) 684-7337
- Location Fax
- (828) 684-7339
- Mailing Address
- 46 SUNNYBROOK DR ASHEVILLE, NC 28805
- Mailing Phone
- (828) 505-1125
- Mailing Fax
- (828) 684-7339
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-03-2007
- Last Update Date
- 07-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 5530
- License State
- NC
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130UX | OTHER (01) | BLUECROSS | |
| C9974 | OTHER (01) | MEDCOST | |
| 7412235 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
Dawn Sanderson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8921495144
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220516001923
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for DAWN SANDERSON MA, CCC-SLP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 3 | 3 | 7 | 0 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 6 | 3 | 14 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 6 + 3 + 1 + 4 + 0 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649337080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MRS. KATHERINE ROBERTSON CLEVENGER MA, C.C.C-SLP
Speech-Language Pathologist
856 SWEETEN CREEK RD STE F
ASHEVILLE, NC
ZIP 28803
DR. JAMIE LEE HENKEN PT, DPT
Physical Therapist
856 SWEETEN CREEK RD STE F
ASHEVILLE, NC
ZIP 28803
CHLOE GRACE HUDOCK M.S. CF-SLP
Speech-Language Pathologist
856 SWEETEN CREEK RD STE F
ASHEVILLE, NC
ZIP 28803
SAMANTHA CAMPBELL M.S.
Speech-Language Pathologist
856 SWEETEN CREEK RD STE F
ASHEVILLE, NC
ZIP 28803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649337080, enumerated as an "individual" on January 03, 2007.
The provider is located at 856 SWEETEN CREEK RD STE F ASHEVILLE, NC 28803 and the phone number is (828) 684-7337.
Speech-Language Pathologist with taxonomy code 235Z00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.
