Doris C Dickson, in Rosedale, MD - Medicare Nurse Practitioner

Doris C Dickson, is a medicare enrolled "Nurse Practitioner - Family" in Rosedale, Maryland. Her current practice location is 1806 Summit Ave, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 559-7259.

Doris C Dickson is licensed to practice in Maryland (license number R196955) 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 1770179913.

Contact Information

	Doris C Dickson,
	1806 Summit Ave, Rosedale, MD 21237-1313
	(443) 559-7259
	Not Available

Map and Direction

Provider's Profile

Full Name	Doris C Dickson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1806 Summit Ave, Rosedale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770179913
Provider Enumeration Date: 12/11/2020
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4284098278
Enrollment ID: I20230908002288

Medical Identifiers

Medical identifiers for Doris C Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770179913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R196955 (Maryland)	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. Doris C Dickson allows following entities to bill medicare on her behalf.

Entity Name	Optimize Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20180320000084

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. Doris C 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
Doris C Dickson, 1806 Summit Ave, Rosedale, MD 21237-1313 Ph: (443) 559-7259	Doris C Dickson, 1806 Summit Ave, Rosedale, MD 21237-1313 Ph: (443) 559-7259

Reviews and Comments

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Doris C Dickson, - Medicare Nurse Practitioner in Rosedale, MD