Merridy R Dickey, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Walla Walla, Washington. Her current practice location is
55 W Tietan St, Walla Walla, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 525-5010.
Merridy R Dickey is licensed to practice in * (Not Available) (license number ) 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 1629342357.
Healthcare Provider's Profile
Full Name | Merridy R Dickey |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 55 W Tietan St, Walla Walla, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629342357
- Provider Enumeration Date: 02/27/2012
- Last Update Date: 11/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173996204
- Enrollment ID: I20230310000337
Medical Identifiers
Medical identifiers for Merridy R Dickey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629342357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | LW60954668 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Merridy R Dickey allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126 |
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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. Merridy R Dickey 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 |
Merridy R Dickey, LICSW 1723 Home Ave, Walla Walla, WA 99362-9058 Ph: (509) 540-6362 | Merridy R Dickey, LICSW 55 W Tietan St, Walla Walla, WA 99362-4498 Ph: (509) 525-5010 |
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