Jillian Dickenski, CRNP in Hampstead, MD - Medicare Nurse Practitioner

Jillian Dickenski, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hampstead, Maryland. Her current practice location is 2111 Hanover Pike, Hampstead, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 239-7073.

Jillian Dickenski is licensed to practice in Maryland (license number R242141) 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 1700580438.

Contact Information

	Jillian Dickenski, CRNP
	2111 Hanover Pike, Hampstead, MD 21074-1319
	(410) 239-7073
	Not Available

Map and Direction

Provider's Profile

Full Name	Jillian Dickenski
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2111 Hanover Pike, Hampstead, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700580438
Provider Enumeration Date: 03/28/2023
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9537525415
Enrollment ID: I20230518002496

Medical Identifiers

Medical identifiers for Jillian Dickenski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700580438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R242141 (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. Jillian Dickenski allows following entities to bill medicare on her behalf.

Entity Name	Aps Corelife Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780209866 PECOS PAC ID: 3971926122 Enrollment ID: O20200707002862

Entity Name	Life Line Corporation -4 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639821648 PECOS PAC ID: 4880061068 Enrollment ID: O20221031002807

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. Jillian Dickenski 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
Jillian Dickenski, CRNP 13926 Old Hanover Rd, Reisterstown, MD 21136-4206 Ph: () -	Jillian Dickenski, CRNP 2111 Hanover Pike, Hampstead, MD 21074-1319 Ph: (410) 239-7073

Reviews and Comments

Nurse Practitioner Nurses in Hampstead, MD

Mr. Jason Robert Day, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4111 Lower Beckleysville Rd, Hampstead, MD 21074 Phone: 410-374-0808
Alyssa Best, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 N Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406
Dr. Anna Alban, DNP, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1606 Saint Paul St, Hampstead, MD 21074 Phone: 410-941-8488 Fax: 410-941-8994
Natalia L Schroeder, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4514 Whetstone Ct, Hampstead, MD 21074 Phone: 914-562-7948
Mary Beth Krauss, MSN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 760 N Houcksville Rd, Hampstead, MD 21074 Phone: 443-790-9502
Christina Lantz, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3868 Fortress Ct, Hampstead, MD 21074 Phone: 443-536-1428
Pamela Nazarov, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 S Main St Ste 201, Hampstead, MD 21074 Phone: 410-941-8488

Jillian Dickenski, CRNP - Medicare Nurse Practitioner in Hampstead, MD