Noah Dickerson, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Emeryville, California. His current practice location is
2322 Powell St, Emeryville, California. You can reach out to his office (for appointments etc.) via phone at
(510) 653-5151.
Noah Dickerson is licensed to practice in California (license number 304425) 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 1245015338.
Physician's Profile
| Full Name | Noah Dickerson |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2322 Powell St, Emeryville, California |
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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: 1245015338
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810342326
- Enrollment ID: I20231018000538
Medical Identifiers
Medical identifiers for Noah Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245015338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 304425 (California) | 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. Noah Dickerson allows following entities to bill medicare on his behalf.
| Entity Name | Yellowhawk Tribal Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346283488
PECOS PAC ID: 6608924121
Enrollment ID: O20090511000179 |
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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. Noah 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 |
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Noah Dickerson, PT
459 23rd St Apt 408,
Oakland, CA 94612-2328
Ph: (530) 215-6424 | Noah Dickerson, PT
2322 Powell St,
Emeryville, CA 94608-1738
Ph: (510) 653-5151 |
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