Mary Kathryn Dickson, PA-C is a medicare enrolled "Physician Assistant" in Chapin, South Carolina. Her current practice location is
104 Ellett Rd, Chapin, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 941-8095.
Mary Kathryn Dickson is licensed to practice in South Carolina (license number 4657) 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 1952028896.
Provider's Profile
Full Name | Mary Kathryn Dickson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 104 Ellett Rd, Chapin, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952028896
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183093776
- Enrollment ID: I20221202001266
Medical Identifiers
Medical identifiers for Mary Kathryn Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952028896 | NPI | - | NPPES |
4657 | Other | SC | SOUTH CAROLINA PHYSICIAN ASSISTANT LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4657 (South Carolina) | 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. Mary Kathryn 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 |
Mary Kathryn Dickson, PA-C 1017 Lighthouse Rd, Chapin, SC 29036-8590 Ph: (803) 606-5072 | Mary Kathryn Dickson, PA-C 104 Ellett Rd, Chapin, SC 29036-8604 Ph: (803) 941-8095 |
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