Michael Dickerson, DMD is a medicare enrolled "Dentist - General Practice" provider in Germantown, Ohio. His current practice location is
26 W Center St, Germantown, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 855-7231.
Michael Dickerson is licensed to practice in Ohio (license number 30-022211) 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 1154469062.
Healthcare Provider's Profile
Full Name | Michael Dickerson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 26 W Center St, Germantown, Ohio |
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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: 1154469062
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648558312
- Enrollment ID: I20161031002456
Medical Identifiers
Medical identifiers for Michael Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154469062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30-022211 (Ohio) | 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. Michael 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 |
Michael Dickerson, DMD 2251 Cobblestone Ct, Miamisburg, OH 45342-5747 Ph: (937) 847-8597 | Michael Dickerson, DMD 26 W Center St, Germantown, OH 45327-1342 Ph: (937) 855-7231 |
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