Mr Richard Timothy Dickerson Jr, CRNA - Nurse Anesthetist, Certified Registered in Liberal, KS

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Mr Richard Timothy Dickerson Jr, CRNA is a Nurse Anesthetist, Certified Registered based in Liberal, Kansas. Mr Richard Timothy Dickerson Jr is licensed to practice in Kansas (license number 55580) and his current practice location is 315 W 15th St, Swmc - Anesthesia, Liberal, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 629-6682.

NPI number for Mr Richard Timothy Dickerson Jr is 1518033612 and his current mailing address is 315 W 15th St, Swmc - Anesthesia, Liberal, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518033612.

Contact Information

Mr Richard Timothy Dickerson Jr, CRNA
315 W 15th St, Swmc - Anesthesia,
Liberal, KS 67901-2455
(620) 629-6682
Not Available

Map and Direction




Provider's Profile

Full NameMr Richard Timothy Dickerson Jr
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location315 W 15th St, Liberal, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518033612
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 05/24/2013

Medical Identifiers

Medical identifiers for Mr Richard Timothy Dickerson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518033612NPI-NPPES
999999MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-08001 (Alabama)Secondary
367500000XNurse Anesthetist, Certified Registered 55580 (Kansas)Primary
367500000XNurse Anesthetist, Certified Registered 199844 (Colorado)Secondary

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 Richard Timothy 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 Richard Timothy Dickerson Jr, CRNA
315 W 15th St, Swmc - Anesthesia,
Liberal, KS 67901-2455

Ph: (620) 629-6682		Mr Richard Timothy Dickerson Jr, CRNA
315 W 15th St, Swmc - Anesthesia,
Liberal, KS 67901-2455

Ph: (620) 629-6682

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Liberal, KS

Mr. Jeffery Hodge Reid Sr., CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6259    Fax: 620-629-6655

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.