John Graham Dickerson, MD is a medicare enrolled "Family Medicine" physician in Drayton, South Carolina. His current practice location is
1800 Drayton Rd Ste 313, Drayton, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 415-1540.
John Graham Dickerson is licensed to practice in South Carolina (license number 20810) 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 1376596593.
Physician's Profile
| Full Name | John Graham Dickerson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1800 Drayton Rd Ste 313, Drayton, South Carolina |
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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: 1376596593
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 09/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537060132
- Enrollment ID: I20240610000111
Medical Identifiers
Medical identifiers for John Graham Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376596593 | NPI | - | NPPES |
| P00386791 | Other | GA | MEDICARE RAILROAD PTAN |
| 208108 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20810 (South Carolina) | 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. John Graham 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 |
|---|
John Graham Dickerson, MD
1800 Drayton Rd Ste 313,
Drayton, SC 29333-7002
Ph: (864) 415-1540 | John Graham Dickerson, MD
1800 Drayton Rd Ste 313,
Drayton, SC 29333-7002
Ph: (864) 415-1540 |
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