Dr Kirkland M Dickey, DNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Pine Hall, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lifebrite Hospital Group Of Stokes Llc and his current practice location is
3853 Us 311 Hwy N, Pine Hall, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 427-3076.
Dr Kirkland M Dickey is licensed to practice in North Carolina (license number 5011957) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114589884.
Provider's Profile
| Full Name | Dr Kirkland M Dickey |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 3853 Us 311 Hwy N, Pine Hall, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kirkland M Dickey graduated from nursing school in 2019
NPI Data:
- NPI Number: 1114589884
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446580831
- Enrollment ID: I20190927001293
Medical Identifiers
Medical identifiers for Dr Kirkland M Dickey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114589884 | NPI | - | NPPES |
| 5011957 | Other | ND | STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 5011957 (North Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5011957 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifebrite Hospital Group Of Stokes Llc | 8921380759 | 6 |
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. Dr Kirkland M Dickey allows following entities to bill medicare on his behalf.
| Entity Name | Lifebrite Hospital Group Of Stokes Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104369081
PECOS PAC ID: 8921380759
Enrollment ID: O20170220001211 |
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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. Dr Kirkland M 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 |
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Dr Kirkland M Dickey, DNP
Po Box 17227,
Winston Salem, NC 27116-7227
Ph: (336) 287-9047 | Dr Kirkland M Dickey, DNP
3853 Us 311 Hwy N,
Pine Hall, NC 27042-8184
Ph: (336) 427-3076 |
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