Joan Vaughn Dickerson, MD in Concord, NC

Joan Vaughn Dickerson, MD is a medicare enrolled "Pediatrics" physician in Concord, North Carolina. Her current practice location is 920 Church St N, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-3664.

Joan Vaughn Dickerson is licensed to practice in North Carolina (license number 2018-02086) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033539259.

Contact Information

	Joan Vaughn Dickerson, MD
	920 Church St N, Concord, NC 28025-2927
	(704) 403-3664
	Not Available

Map and Direction

Physician's Profile

Full Name	Joan Vaughn Dickerson
Gender	Female
Speciality	Pediatrics
Location	920 Church St N, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033539259
Provider Enumeration Date: 04/28/2014
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3476777368
Enrollment ID: I20190211002921

Medical Identifiers

Medical identifiers for Joan Vaughn Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033539259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	2018-02086 (North Carolina)	Secondary
208000000X	Pediatrics	2018-02086 (North Carolina)	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. Joan Vaughn Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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. Joan Vaughn 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
Joan Vaughn Dickerson, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Joan Vaughn Dickerson, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-3664

Reviews and Comments

Pediatrics Doctors in Concord, NC

Laura Jean Mock, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1040 Vinehaven Drive, Concord, NC 28025 Phone: 704-784-1010 Fax: 704-784-1013
Amanda Lynn Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2860
Andrew Zachary Heling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Ste 310, Concord, NC 28025 Phone: 704-403-2660
Robert A Nahouraii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 70 Lake Concord Rd Ne, Concord, NC 28025 Phone: 704-355-9794
Kevin Michael Tompkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664
Rula Musa Freiji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660
Joel Lutterman, Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3664

Joan Vaughn Dickerson, MD - Medicare Pediatrics in Concord, NC