Domonique Dickerson, is a
Case Manager/care Coordinator based in Houma, Louisiana. Domonique Dickerson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1340 W Tunnel Blvd Ste 230, Houma, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(985) 293-7322.
NPI number for Domonique Dickerson is 1881166007 and her current mailing address is 1418 Tiger Dr, Thibodaux, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881166007.
Healthcare Provider's Profile
Full Name | Domonique Dickerson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 1340 W Tunnel Blvd Ste 230, Houma, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881166007
- Provider Enumeration Date: 12/28/2018
- Last Update Date: 04/03/2020
Medical Identifiers
Medical identifiers for Domonique Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881166007 | NPI | - | NPPES |
2203783561 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Domonique Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Domonique Dickerson, 1418 Tiger Dr, Thibodaux, LA 70301-4337 Ph: (985) 449-4055 | Domonique Dickerson, 1340 W Tunnel Blvd Ste 230, Houma, LA 70360-2811 Ph: (985) 293-7322 |
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