Mr Charles Earl Dickerson Jr, CRNA - Nurse Anesthetist, Certified Registered in Jacksonville, FL

Mr Charles Earl Dickerson Jr, CRNA is a Nurse Anesthetist, Certified Registered based in Jacksonville, Florida. Mr Charles Earl Dickerson Jr is licensed to practice in California (license number 4405) and his current practice location is 2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (619) 532-6684.

NPI number for Mr Charles Earl Dickerson Jr is 1558701292 and his current mailing address is 640 Wilmington Dr, Chula Vista, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558701292.

Contact Information

Mr Charles Earl Dickerson Jr, CRNA
2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services,
Jacksonville, FL 32212-0140
(619) 532-6684
Not Available

Map and Direction




Provider's Profile

Full NameMr Charles Earl Dickerson Jr
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2005 Knight Lane Bldg H, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558701292
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 06/26/2013

Medical Identifiers

Medical identifiers for Mr Charles Earl Dickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558701292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 840135 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 4405 (California)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. Mr Charles Earl Dickerson Jr 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 AddressPractice Location Address
Mr Charles Earl Dickerson Jr, CRNA
640 Wilmington Dr,
Chula Vista, CA 91914-4209

Ph: (301) 908-8904
Mr Charles Earl Dickerson Jr, CRNA
2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services,
Jacksonville, FL 32212-0140

Ph: (619) 532-6684

Reviews and Comments


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Phone: 904-953-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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