Dwight Raymond Stickney, MD is a medicare enrolled "Radiology - Therapeutic Radiology" physician in Granite Bay, California. His current practice location is
5275 Ashby Ln, Granite Bay, California. You can reach out to his office (for appointments etc.) via phone at
(916) 600-5116.
Dwight Raymond Stickney is licensed to practice in California (license number C37059) 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 1225296676.
Physician's Profile
| Full Name | Dwight Raymond Stickney |
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| Gender | Male |
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| Speciality | Radiology - Therapeutic Radiology |
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| Location | 5275 Ashby Ln, Granite Bay, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225296676
- Provider Enumeration Date: 06/01/2008
- Last Update Date: 06/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103097985
- Enrollment ID: I20110928000146
Medical Identifiers
Medical identifiers for Dwight Raymond Stickney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225296676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0203X | Radiology - Therapeutic Radiology | C37059 (California) | 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. Dwight Raymond Stickney allows following entities to bill medicare on his behalf.
| Entity Name | Enloe Specialty Physicians, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306105721
PECOS PAC ID: 7416111893
Enrollment ID: O20120614000789 |
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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. Dwight Raymond Stickney 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 |
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Dwight Raymond Stickney, MD
5275 Ashby Ln,
Granite Bay, CA 95746-9425
Ph: (916) 600-5116 | Dwight Raymond Stickney, MD
5275 Ashby Ln,
Granite Bay, CA 95746-9425
Ph: (916) 600-5116 |
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