Jordan Kyle Dickens, CAA is a medicare enrolled "Anesthesiologist Assistant" in Sandy Springs, Georgia. His current practice location is
1000 Johnson Ferry Rd, Sandy Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 851-8000.
Jordan Kyle Dickens is licensed to practice in Georgia (license number 26626391) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144709189.
Provider's Profile
| Full Name | Jordan Kyle Dickens |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1000 Johnson Ferry Rd, Sandy Springs, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144709189
- Provider Enumeration Date: 08/10/2018
- Last Update Date: 08/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587917885
- Enrollment ID: I20181105000281
Medical Identifiers
Medical identifiers for Jordan Kyle Dickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144709189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 26626391 (Georgia) | 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. Jordan Kyle Dickens allows following entities to bill medicare on his behalf.
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982349296
PECOS PAC ID: 5496134348
Enrollment ID: O20220623000371 |
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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. Jordan Kyle Dickens 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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Jordan Kyle Dickens, CAA
4420 Peachtree Rd Ne Apt 2426,
Brookhaven, GA 30319-2895
Ph: (912) 294-0854 | Jordan Kyle Dickens, CAA
1000 Johnson Ferry Rd,
Sandy Springs, GA 30342-1611
Ph: (404) 851-8000 |
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