Mary Noel Dickerson, FNP in Hattiesburg, MS - Medicare Nurse Practitioner

Mary Noel Dickerson, FNP is a medicare enrolled "Nurse Practitioner" in Hattiesburg, Mississippi. Her current practice location is 6051 U S Highway 49, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 288-7000.

Mary Noel Dickerson is licensed to practice in Mississippi (license number 905670) 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 1790377018.

Contact Information

	Mary Noel Dickerson, FNP
	6051 U S Highway 49, Hattiesburg, MS 39401-7200
	(601) 288-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Noel Dickerson
Gender	Female
Speciality	Nurse Practitioner
Location	6051 U S Highway 49, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790377018
Provider Enumeration Date: 02/08/2021
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3971960741
Enrollment ID: I20230609001173

Medical Identifiers

Medical identifiers for Mary Noel Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790377018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	908181 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	905670 (Mississippi)	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. Mary Noel Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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 Noel Dickerson 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 Noel Dickerson, FNP 6051 U S Highway 49, Hattiesburg, MS 39401-7200 Ph: (601) 288-7000	Mary Noel Dickerson, FNP 6051 U S Highway 49, Hattiesburg, MS 39401-7200 Ph: (601) 288-7000

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Mary Noel Dickerson, FNP - Medicare Nurse Practitioner in Hattiesburg, MS