Mark Thomas Dickinson, MD | |
4601 Carothers Pkwy, Ste 475, Franklin, TN 37067-5980 | |
(615) 790-1660 | |
(615) 790-3705 |
Full Name | Mark Thomas Dickinson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 4601 Carothers Pkwy, Franklin, Tennessee |
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 |
---|---|---|---|
1215914239 | NPI | - | NPPES |
3886483 | Medicaid | TN | |
P00035782 | Other | TN | RR MEDICARE |
64069941 | Medicaid | KY | |
4067530 | Other | TN | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD37792 (Tennessee) | Primary |
208800000X | Urology | A67587 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Dickinson, MD 2801 Charlotte Ave, Nashville, TN 37209-4035 Ph: (615) 250-9200 | Mark Thomas Dickinson, MD 4601 Carothers Pkwy, Ste 475, Franklin, TN 37067-5980 Ph: (615) 790-1660 |
William D Tissot, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4601 Carothers Pkwy, Suite 475, Franklin, TN 37067 Phone: 615-790-1660 Fax: 615-790-3705 | |
Starling C Evins, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4601 Carothers Pkwy, Suite 475, Franklin, TN 37067 Phone: 615-790-1660 Fax: 615-790-3705 | |
John Matthew Hassan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1909 Mallory Lane, Suite 110, Franklin, TN 37067 Phone: 615-771-3024 Fax: 615-771-3027 | |
Joel R Locke, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4601 Carothers Pkwy, Suite 475, Franklin, TN 37067 Phone: 615-790-1660 Fax: 615-790-3705 |