Mrs Chenoa Dickerson, FNP-C in Rome, GA - Medicare Nurse Practitioner

Mrs Chenoa Dickerson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rome, Georgia. Her current practice location is 18 Riverbend Dr Sw Ste 118, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 962-3642.

Mrs Chenoa Dickerson is licensed to practice in Georgia (license number RN248353) 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 1063002145.

Contact Information

	Mrs Chenoa Dickerson, FNP-C
	18 Riverbend Dr Sw Ste 118, Rome, GA 30161-6019
	(706) 962-3642
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Chenoa Dickerson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	18 Riverbend Dr Sw Ste 118, Rome, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063002145
Provider Enumeration Date: 01/22/2021
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3072909654
Enrollment ID: I20220407000986

Medical Identifiers

Medical identifiers for Mrs Chenoa Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063002145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN248353 (Georgia)	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. Mrs Chenoa Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Georgia Pain And Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356781181 PECOS PAC ID: 8527200864 Enrollment ID: O20130815000433

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. Mrs Chenoa 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
Mrs Chenoa Dickerson, FNP-C 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 Ph: (706) 962-3642	Mrs Chenoa Dickerson, FNP-C 18 Riverbend Dr Sw Ste 118, Rome, GA 30161-6019 Ph: (706) 962-3642

Reviews and Comments

Nurse Practitioner Nurses in Rome, GA

Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515
Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Redmond Rd Nw, Rome, GA 30165 Phone: 706-528-9060 Fax: 833-263-3551
Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227
Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507
Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505
Alexis Butler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477
Linda H. Hoffmann, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165 Phone: 706-233-9349 Fax: 706-232-7986

Mrs Chenoa Dickerson, FNP-C - Medicare Nurse Practitioner in Rome, GA