Derek James Dickson, LPC in Cleveland, OH - Medicare Counselor Provider

Derek James Dickson, LPC is a medicare enrolled "Counselor - Mental Health" provider in Cleveland, Ohio. His current practice location is 3929 Rocky River Dr, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 252-5800.

Derek James Dickson is licensed to practice in Ohio (license number C.1801238) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174053052.

Contact Information

	Derek James Dickson, LPC
	3929 Rocky River Dr, Cleveland, OH 44111
	(216) 252-5800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek James Dickson
Gender	Male
Speciality	Counselor - Mental Health
Location	3929 Rocky River Dr, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174053052
Provider Enumeration Date: 06/14/2017
Last Update Date: 06/10/2018

Medicare PECOS Information:

PECOS PAC ID: 6800230566
Enrollment ID: I20240221001639

Medical Identifiers

Medical identifiers for Derek James Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174053052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C.1801238 (Ohio)	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. Derek James Dickson allows following entities to bill medicare on his behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363

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. Derek James Dickson 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 Address	Practice Location Address
Derek James Dickson, LPC 700 Omalley Dr Apt 302, Parma, OH 44134-2070 Ph: (740) 221-3841	Derek James Dickson, LPC 3929 Rocky River Dr, Cleveland, OH 44111 Ph: (216) 252-5800

Reviews and Comments

Counselor in Cleveland, OH

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Derek James Dickson, LPC - Medicare Counselor in Cleveland, OH