Timothy Dale Dickinson, MD | |
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
(859) 341-7246 | |
(859) 341-7867 |
Full Name | Timothy Dale Dickinson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 32 Years |
Location | 1 Medical Village Dr, Edgewood, Kentucky |
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 |
---|---|---|---|
1255314423 | NPI | - | NPPES |
10902391 | Other | CAQH | |
611077369 | Other | TAX ID | |
7580059 | Other | AETNA | |
000000311761 | Other | ANTHEM BLUE SHIELD | |
200282600 | Medicaid | IN | |
0310694 | Medicaid | OH | |
64074628 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 38335 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Group Practice Inc | 1254245137 | 368 |
Entity Name | Anesthesia Group Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
Mailing Address | Practice Location Address |
---|---|
Timothy Dale Dickinson, MD 20 Medical Village Dr, Suite 258, Edgewood, KY 41017-5401 Ph: (859) 341-7246 | Timothy Dale Dickinson, MD 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 341-7246 |
Raymond James Sullivan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Independent Anesthesiologists. Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
David Zangrando, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 849-341-7246 Fax: 859-341-7867 | |
Marian Jeanne Gorham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Richard Gerard Oliver, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-641-7867 | |
Steven Peter Noll, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Dr. Oren Costantini, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 |