Kelley Dickson, DO in Springfield, PA - Medicare Family Medicine

Kelley Dickson, DO is a medicare enrolled "Family Medicine" physician in Springfield, Pennsylvania. Her current practice location is 1260 E Woodland Ave Ste 200, Springfield, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 690-4471.

Kelley Dickson is licensed to practice in Pennsylvania (license number OS022928) 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 1366071425.

Contact Information

	Kelley Dickson, DO
	1260 E Woodland Ave Ste 200, Springfield, PA 19064-3988
	(610) 690-4471
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelley Dickson
Gender	Female
Speciality	Family Medicine
Location	1260 E Woodland Ave Ste 200, Springfield, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366071425
Provider Enumeration Date: 04/02/2020
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3971958356
Enrollment ID: I20231005001557

Medical Identifiers

Medical identifiers for Kelley Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366071425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS022928 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kelley Dickson allows following entities to bill medicare on her behalf.

Entity Name	Prospect Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737

Entity Name	Chespenn Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750329603 PECOS PAC ID: 5991695389 Enrollment ID: O20200326000803

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. Kelley Dickson 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
Kelley Dickson, DO 1300 Fairmount Ave Unit 840, Philadelphia, PA 19123-2475 Ph: (301) 512-9141	Kelley Dickson, DO 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3988 Ph: (610) 690-4471

Reviews and Comments

Family Medicine Doctors in Springfield, PA

Dr. Nimshavathani Thaver, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Letitia Ann O'kicki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Nicole Ferraro, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1260 E Woodland Ave Ste 200, Springfield, PA 19064 Phone: 610-690-4900
Larisa Cheipesh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 Baltimore Pike, Suite 2b, Springfield, PA 19064 Phone: 484-573-5116 Fax: 484-573-5122
Dr. Sarah Morchen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Dr. William J Warning Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Dr. Robyn Mia Shor-conroy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 W Sproul Road, Suite 120, Springfield, PA 19064 Phone: 610-338-1800 Fax: 610-338-1809

Kelley Dickson, DO - Medicare Family Medicine in Springfield, PA