Tisha N Dickey, DO is a medicare enrolled "Family Medicine" physician in Groton, Massachusetts. She went to Rowan University School Of Osteopathic Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Steward Medical Group Inc and her current practice location is
1 Forge Village Rd, Groton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 449-0289.
Tisha N Dickey is licensed to practice in Massachusetts (license number 262493) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588984264.
Physician's Profile
Full Name | Tisha N Dickey |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 14 Years |
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Location | 1 Forge Village Rd, Groton, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tisha N Dickey attended and graduated from Rowan University School Of Osteopathic Medicine in 2010
NPI Data:
- NPI Number: 1588984264
- Provider Enumeration Date: 06/04/2010
- Last Update Date: 03/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446490825
- Enrollment ID: I20151005000644
Medical Identifiers
Medical identifiers for Tisha N Dickey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588984264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 262493 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Steward Medical Group Inc | 2860688728 | 1338 |
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. Tisha N Dickey allows following entities to bill medicare on her behalf.
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
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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. Tisha N Dickey 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 |
Tisha N Dickey, DO 1 Forge Village Rd, Groton, MA 01450-2047 Ph: (978) 449-0289 | Tisha N Dickey, DO 1 Forge Village Rd, Groton, MA 01450-2047 Ph: (978) 449-0289 |
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