Marie Dickerson, CRNA is a
Nurse Anesthetist, Certified Registered based in Waynesboro, Mississippi. Marie Dickerson is licensed to practice in Mississippi (license number R110100) and her current practice location is
950 Matthew Drive, Waynesboro, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 735-7102.
NPI number for Marie Dickerson is 1447228630 and her current mailing address is 950 Matthew Drive, P O Box 1249, Waynesboro, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447228630.
Provider's Profile
| Full Name | Marie Dickerson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 950 Matthew Drive, Waynesboro, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447228630
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 11/03/2010
Medical Identifiers
Medical identifiers for Marie Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447228630 | NPI | - | NPPES |
| 00017439 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R110100 (Mississippi) | Primary |
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. Marie Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marie Dickerson, CRNA
950 Matthew Drive, P O Box 1249,
Waynesboro, MS 39367
Ph: (601) 735-7102 | Marie Dickerson, CRNA
950 Matthew Drive,
Waynesboro, MS 39367
Ph: (601) 735-7102 |
Reviews and Comments