Katherine Ruth Dickerson, LCMHCS, LCAS, CCS in Denver, NC

Katherine Ruth Dickerson, LCMHCS, LCAS, CCS is a medicare enrolled "Counselor - Mental Health" provider in Denver, North Carolina. Her current practice location is 7490 Waterside Crossing Blvd Ste 2a, Denver, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-3637.

Katherine Ruth Dickerson is licensed to practice in North Carolina (license number S9956) 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 1780816603.

Contact Information

	Katherine Ruth Dickerson, LCMHCS, LCAS, CCS
	7490 Waterside Crossing Blvd Ste 2a, Denver, NC 28037-3004
	(704) 360-3637
	(704) 625-9789

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Ruth Dickerson
Gender	Female
Speciality	Counselor - Mental Health
Location	7490 Waterside Crossing Blvd Ste 2a, Denver, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780816603
Provider Enumeration Date: 08/11/2009
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5698127413
Enrollment ID: I20240117003507

Medical Identifiers

Medical identifiers for Katherine Ruth Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780816603	NPI	-	NPPES
3112086	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAS-1406 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CCS-10965 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	CCS-10965 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	S9956 (North Carolina)	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. Katherine Ruth Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Integrative Wellness Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447760871 PECOS PAC ID: 8022341494 Enrollment ID: O20190618000993

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. Katherine Ruth Dickerson 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
Katherine Ruth Dickerson, LCMHCS, LCAS, CCS 7490 Waterside Crossing Blvd Ste 2a, Denver, NC 28037-3004 Ph: (704) 360-3637	Katherine Ruth Dickerson, LCMHCS, LCAS, CCS 7490 Waterside Crossing Blvd Ste 2a, Denver, NC 28037-3004 Ph: (704) 360-3637

Reviews and Comments

Counselor in Denver, NC

Mrs. Carol D Crosby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1449 Valhalla Dr, Denver, NC 28037 Phone: 617-513-2361
Dr. David Mark Graham, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2359 Smith Cove Rd, Denver, NC 28037 Phone: 704-641-9063
Mrs. Clarissa A Caskey, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 7472 Waterside Loop Rd, #114, Denver, NC 28037 Phone: 980-222-4788
Mrs. Sara Elizabeth Wilson, M.A.,ED.S.,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7257 Drury Ln, Denver, NC 28037 Phone: 704-975-0362
Sarah Murchison, MED, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3143 James Plantation Dr, Denver, NC 28037 Phone: 803-370-2239
Lisa Johnson, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4055 Denver Shores Ln, Denver, NC 28037 Phone: 704-835-5954
Lindsey Marie Brown, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7472 Waterside Loop Rd, Denver, NC 28037 Phone: 704-266-4208

Katherine Ruth Dickerson, LCMHCS, LCAS, CCS - Medicare Counselor in Denver, NC