Michelle Gomez Dickerson, PMHNP in Meridian, MS

Michelle Gomez Dickerson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Meridian, Mississippi. Her current practice location is 1818 College Drive, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 581-7974.

Michelle Gomez Dickerson is licensed to practice in Mississippi (license number 904508) 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 1720694029.

Contact Information

	Michelle Gomez Dickerson, PMHNP
	1818 College Drive, Meridian, MS 39307
	(601) 581-7974
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Gomez Dickerson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1818 College Drive, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720694029
Provider Enumeration Date: 09/22/2020
Last Update Date: 03/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3476997560
Enrollment ID: I20240216001070

Medical Identifiers

Medical identifiers for Michelle Gomez Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720694029	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	904508 (Mississippi)	Primary
163W00000X	Registered Nurse	876648 (Mississippi)	Secondary

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. Michelle Gomez Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Behavioral Medicine Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588846281 PECOS PAC ID: 5092889360 Enrollment ID: O20080805000086

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. Michelle Gomez 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
Michelle Gomez Dickerson, PMHNP Po Box 4128, Meridian, MS 39304-4128 Ph: () -	Michelle Gomez Dickerson, PMHNP 1818 College Drive, Meridian, MS 39307 Ph: (601) 581-7974

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 20th Ave Ste D, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-703-8459
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Michelle Gomez Dickerson, PMHNP - Medicare Nurse Practitioner in Meridian, MS