Susane A Dickson, MD in Riverside, RI - Medicare Psychiatry & Neurology

Susane A Dickson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1000.

Susane A Dickson is licensed to practice in Rhode Island (license number MD17188) 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 1194804054.

Contact Information

	Susane A Dickson, MD
	1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
	(401) 432-1000
	(401) 432-1500

Map and Direction

Physician's Profile

Full Name	Susane A Dickson
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194804054
Provider Enumeration Date: 11/03/2006
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4385796002
Enrollment ID: I20190417000656

Medical Identifiers

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

Identifier	Type	State	Issuer
1194804054	NPI	-	NPPES
258302000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	264742 (Massachusetts)	Secondary
208000000X	Pediatrics	ME71623 (Florida)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD17188 (Rhode Island)	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. Susane A Dickson allows following entities to bill medicare on her behalf.

Entity Name	Brockton Neighborhood Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558

Entity Name	Cape Cod Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245286152 PECOS PAC ID: 4183614209 Enrollment ID: O20040512001098

Entity Name	Physicians Of Cape Cod Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679832364 PECOS PAC ID: 9638326671 Enrollment ID: O20120828000193

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. Susane A 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
Susane A Dickson, MD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (014) 444-6779	Susane A Dickson, MD 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1000

Reviews and Comments

Psychiatry & Neurology Doctors in Riverside, RI

Justyna Piasecka, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1000
Dr. Ornella Judith Potter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Tanuja P Gandhi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Gregory Paul Stiener, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Dr. Achina P Stein, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Wampanoag Trl Ste 305, Riverside, RI 02915 Phone: 401-270-4541 Fax: 401-270-4081
Noha Sadek, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Alaa Elnajjar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1137 Fax: 401-432-1509

Susane A Dickson, MD - Medicare Psychiatry & Neurology in Riverside, RI