Maria Shields Dickerson, OD is a medicare enrolled "Optometrist" provider in Winnsboro, South Carolina. She went to Southern College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Care Associates Of Sc Llc and her current practice location is
1007 Kincaid Bridge Rd, Winnsboro, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 635-6496.
Maria Shields Dickerson is licensed to practice in South Carolina (license number 1336) 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 1457304560.
Healthcare Provider's Profile
| Full Name | Maria Shields Dickerson |
|---|
| Gender | Female |
|---|
| Speciality | Optometry |
|---|
| Experience | 20 Years |
|---|
| Location | 1007 Kincaid Bridge Rd, Winnsboro, South Carolina |
|---|
| 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:
- Maria Shields Dickerson attended and graduated from Southern College Of Optometry in 2004
NPI Data:
- NPI Number: 1457304560
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688624927
- Enrollment ID: I20050125000663
Medical Identifiers
Medical identifiers for Maria Shields Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457304560 | NPI | - | NPPES |
| D13368 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1336 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eye Care Associates Of Sc Llc | 4587998802 | 51 |
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. Maria Shields Dickerson allows following entities to bill medicare on her behalf.
| Provider Name | Eye Care Associates Of Sc Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1679046569
PECOS PAC ID: 4587998802
Enrollment ID: O20190620000990 |
|---|
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. Maria Shields 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 |
|---|
Maria Shields Dickerson, OD
104 Odell St,
Whitmire, SC 29178-1117
Ph: (803) 694-4724 | Maria Shields Dickerson, OD
1007 Kincaid Bridge Rd,
Winnsboro, SC 29180-7113
Ph: (803) 635-6496 |
Reviews and Comments