Jacob Lee Dickinson, MD | |
901 Burnett Dr, Mountain Home, AR 72653-2908 | |
(870) 425-9120 | |
Not Available |
Full Name | Jacob Lee Dickinson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 901 Burnett Dr, Mountain Home, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396866364 | NPI | - | NPPES |
168854001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | E-5452 (Arkansas) | Primary |
2086S0129X | Surgery - Vascular Surgery | E-5452 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baxter Regional Medical Center | Mountain home, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ozark Surgical Group | 6901902642 | 7 |
Entity Name | Ozark Surgical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336155167 PECOS PAC ID: 6901902642 Enrollment ID: O20070426000280 |
Entity Name | Surgical Associates Of Jonesboro, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184869943 PECOS PAC ID: 0749346658 Enrollment ID: O20090302000205 |
Mailing Address | Practice Location Address |
---|---|
Jacob Lee Dickinson, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 | Jacob Lee Dickinson, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 |
Dr. Louis Woodrow Elkins Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr Ste 1-a, Mountain Home, AR 72653 Phone: 870-508-3200 Fax: 870-508-1359 | |
Adam G. Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 E 9th St, Mountain Home, AR 72653 Phone: 870-425-6398 Fax: 879-425-6402 | |
John Michael Spore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 | |
Kent Peter Nachtigal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 | |
Dr. Jennifer Foster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 | |
Dr. David Harrison, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 |