Mrs Tina Marie Dickinson, AGPCNP-BC in Newark, NY

Mrs Tina Marie Dickinson, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Newark, New York. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Clifton Springs Sanitarium Co and her current practice location is 1200 Driving Park Ave, Newark, New York. You can reach out to her office (for appointments etc.) via phone at (315) 359-2847.

Mrs Tina Marie Dickinson is licensed to practice in New York (license number F308478-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306337381.

Contact Information

	Mrs Tina Marie Dickinson, AGPCNP-BC
	1200 Driving Park Ave, Newark, NY 14513-1090
	(315) 359-2847
	(315) 359-2806

Map and Direction

Provider's Profile

Full Name	Mrs Tina Marie Dickinson
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1200 Driving Park Ave, Newark, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tina Marie Dickinson graduated from nursing school in 2017

NPI Data:

NPI Number: 1306337381
Provider Enumeration Date: 05/24/2018
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5890042709
Enrollment ID: I20180724002628

Medical Identifiers

Medical identifiers for Mrs Tina Marie Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306337381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	F308478-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Clifton Springs Hospital And Clinic	Clifton springs, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clifton Springs Sanitarium Co	5092704809	82

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 Tina Marie Dickinson allows following entities to bill medicare on her behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Entity Name	Newark Wayne Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722

Entity Name	Clifton Springs Sanitarium Co
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569

Entity Name	Western New York Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

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 Tina Marie Dickinson 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 Tina Marie Dickinson, AGPCNP-BC Newark Wayne Community Hospital 111 Driving Park Ave, Box 111, Emergency Department, Newark, NY 14513 Ph: (315) 359-2847	Mrs Tina Marie Dickinson, AGPCNP-BC 1200 Driving Park Ave, Newark, NY 14513-1090 Ph: (315) 359-2847

Reviews and Comments

Nurse Practitioner Nurses in Newark, NY

Karen S. Roth, ANP-BC, ACHPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640
Jennifer Lynn Torres, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2557 Fax: 315-462-2062
Damar Titsy-ann Mcintyre, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2266
Paula Kay Dorn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2130 Fax: 315-359-2139
Beverly J Provo, GNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640
Mr. Craig Alan Weise, MS, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2133 Fax: 315-359-2139
Meggan Butler-o'hara, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2660 Fax: 315-359-2635

Mrs Tina Marie Dickinson, AGPCNP-BC - Medicare Nurse Practitioner in Newark, NY