Cole Evans Dickerson, DPT in Pocahontas, AR - Medicare Physical Therapist Provider

Cole Evans Dickerson, DPT is a medicare enrolled "Physical Therapist" provider in Pocahontas, Arkansas. His current practice location is 1415 Commerce Dr Ste A, Pocahontas, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 248-0800.

Cole Evans Dickerson is licensed to practice in Arkansas (license number 5351) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881075679.

Contact Information

	Cole Evans Dickerson, DPT
	1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495
	(870) 248-0800
	(870) 248-0802

Map and Direction

Healthcare Provider's Profile

Full Name	Cole Evans Dickerson
Gender	Male
Speciality	Physical Therapist
Location	1415 Commerce Dr Ste A, Pocahontas, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881075679
Provider Enumeration Date: 06/17/2015
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1557717592
Enrollment ID: I20231026002307

Medical Identifiers

Medical identifiers for Cole Evans Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881075679	NPI	-	NPPES
0446657	Medicaid	TN
4004523	Other	TN	BCBST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT0000010465 (Tennessee)	Secondary
225100000X	Physical Therapist	5351 (Arkansas)	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. Cole Evans Dickerson allows following entities to bill medicare on his behalf.

Provider Name	Five Rivers Therapy Services Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801840616 PECOS PAC ID: 3173535036 Enrollment ID: O20060615000306

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. Cole Evans 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
Cole Evans Dickerson, DPT 1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495 Ph: (870) 248-0800	Cole Evans Dickerson, DPT 1415 Commerce Dr Ste A, Pocahontas, AR 72455-1495 Ph: (870) 248-0800

Reviews and Comments

Physical Therapist in Pocahontas, AR

Ashley Lebeau, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42 Helter Rd, Pocahontas, AR 72455 Phone: 870-248-1448
David Flores, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800
Monica Koontz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800
Mrs. Kristi L. Harris, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 567 Hwy 67 S, Suite B, Pocahontas, AR 72455 Phone: 870-248-1119 Fax: 870-277-0896
Alyson Nicole Prichard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2202 Dalton St, Pocahontas, AR 72455 Phone: 870-219-4586
Mrs. Katie Rae Guinn, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Commerce Dr Ste A, Pocahontas, AR 72455 Phone: 870-248-0800
Logan Blaine Arnold, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Commerce Dr, Ste A, Pocahontas, AR 72455 Phone: 870-248-0800 Fax: 870-248-0802

Cole Evans Dickerson, DPT - Medicare Physical Therapist in Pocahontas, AR