Tony Brian Dickerson, LMFT is a
Marriage & Family Therapist based in Redwood, New York. Tony Brian Dickerson is licensed to practice in New York (license number 001216-1) and his current practice location is
43836 Stine Rd, Redwood, New York. He can be reached at his office (for appointments etc.) via phone at
(623) 755-1996.
NPI number for Tony Brian Dickerson is 1316313000 and his current mailing address is 43836 Stine Rd, Redwood, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316313000.
Healthcare Provider's Profile
Full Name | Tony Brian Dickerson |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 43836 Stine Rd, Redwood, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316313000
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 08/17/2015
Medical Identifiers
Medical identifiers for Tony Brian Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316313000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 001216-1 (New York) | 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. Tony Brian 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 |
Tony Brian Dickerson, LMFT 43836 Stine Rd, Redwood, NY 13679-4154 Ph: (623) 755-1996 | Tony Brian Dickerson, LMFT 43836 Stine Rd, Redwood, NY 13679-4154 Ph: (623) 755-1996 |
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