Mr Jerome Ivan Dickman, MD is a
Otolaryngology physician based in Bell Canyon, California. Mr Jerome Ivan Dickman is licensed to practice in California (license number A21070) and his current practice location is 33 Saddlebow Rd, Bell Canyon, California. He can be reached at his office (for appointments etc.) via phone at
(818) 884-5121.
NPI number for Mr Jerome Ivan Dickman is 1174581227 and his current mailing address is 33 Saddlebow Rd, Bell Canyon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174581227.
Physician's Profile
Full Name | Mr Jerome Ivan Dickman |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 33 Saddlebow Rd, Bell Canyon, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174581227
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 10/31/2016
Medical Identifiers
Medical identifiers for Mr Jerome Ivan Dickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174581227 | NPI | - | NPPES |
00A210700 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | A21070 (California) | 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. Mr Jerome Ivan Dickman 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 |
Mr Jerome Ivan Dickman, MD 33 Saddlebow Rd, Bell Canyon, CA 91307-1137 Ph: (818) 884-5121 | Mr Jerome Ivan Dickman, MD 33 Saddlebow Rd, Bell Canyon, CA 91307-1137 Ph: (818) 884-5121 |
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