Tamara D Dickerson, MD is a medicare enrolled "Pediatrics" physician in Mccordsville, Indiana. Her current practice location is
8535 N Clearview Dr Ste 700, Mccordsville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 415-6450.
Tamara D Dickerson is licensed to practice in Indiana (license number 01049288) 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 1952345357.
Physician's Profile
Full Name | Tamara D Dickerson |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 8535 N Clearview Dr Ste 700, Mccordsville, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952345357
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 06/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729080080
- Enrollment ID: I20070215000507
Medical Identifiers
Medical identifiers for Tamara D Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952345357 | NPI | - | NPPES |
200192260 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 01049288 (Indiana) | 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. Tamara D Dickerson allows following entities to bill medicare on her behalf.
Entity Name | St Vincent Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
---|
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. Tamara D 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 |
Tamara D Dickerson, MD 8535 N Clearview Dr Ste 700, Mccordsville, IN 46055-6243 Ph: () - | Tamara D Dickerson, MD 8535 N Clearview Dr Ste 700, Mccordsville, IN 46055-6243 Ph: (317) 415-6450 |
Reviews and Comments