Mr James Wiley Dickerson Iii, MD | |
680 Centre St, Brockton, MA 02302-3308 | |
(508) 941-7228 | |
Not Available |
Full Name | Mr James Wiley Dickerson Iii |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 35 Years |
Location | 680 Centre St, Brockton, Massachusetts |
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 |
---|---|---|---|
1023004512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 1020407 (Massachusetts) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD150778 (Oregon) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth Medical Group | 9032023270 | 214 |
Entity Name | Peacehealth Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Mailing Address | Practice Location Address |
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Mr James Wiley Dickerson Iii, MD Po Box 24410, Eugene, OR 97402-0451 Ph: () - | Mr James Wiley Dickerson Iii, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7228 |
Demin Ma, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7228 Fax: 508-941-6401 | |
Dr. Sharon M Parnes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St Ste 220e, Brockton, MA 02301 Phone: 508-427-3870 Fax: 617-508-5063 | |
Dr. Sarah Yasmin, M.D., M.P.H Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 940 Belmont Street (116a), Vabhs Mental Health Service, Brockton, MA 02301 Phone: 774-826-2476 Fax: 774-826-3129 | |
Dil Tahera, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 940 Belmont St, Brockton, MA 02301 Phone: 774-826-3151 | |
Jared K. Trout, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 508-408-9200 Fax: 857-241-5492 | |
Anne Ling Li, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-897-2223 |