Johnathan Bradley Dickson, MSP SLP-CFY in Sumter, SC - Medicare Speech-Language Pathologist Provider

Johnathan Bradley Dickson, MSP SLP-CFY is a medicare enrolled "Speech-language Pathologist" provider in Sumter, South Carolina. His current practice location is 880 Carolina Ave, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 775-5394.

Johnathan Bradley Dickson is licensed to practice in South Carolina (license number 6733) 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 1144886060.

Contact Information

	Johnathan Bradley Dickson, MSP SLP-CFY
	880 Carolina Ave, Sumter, SC 29150-2815
	(803) 775-5394
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnathan Bradley Dickson
Gender	Male
Speciality	Speech-language Pathologist
Location	880 Carolina Ave, Sumter, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144886060
Provider Enumeration Date: 05/15/2019
Last Update Date: 05/15/2019

Medicare PECOS Information:

PECOS PAC ID: 3375912520
Enrollment ID: I20221209000403

Medical Identifiers

Medical identifiers for Johnathan Bradley Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144886060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	6733 (South Carolina)	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. Johnathan Bradley Dickson allows following entities to bill medicare on his behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094

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. Johnathan Bradley Dickson 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
Johnathan Bradley Dickson, MSP SLP-CFY 110 Annie Ct, Dalzell, SC 29040-9010 Ph: () -	Johnathan Bradley Dickson, MSP SLP-CFY 880 Carolina Ave, Sumter, SC 29150-2815 Ph: (803) 775-5394

Reviews and Comments

Speech-Language Pathologist in Sumter, SC

Hillary Griffin, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 Hasel St, Sumter, SC 29150 Phone: 803-469-6900
Mrs. Wanda Ramsey, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1165 N Guignard Dr, Suite 8, Sumter, SC 29150 Phone: 803-778-2724 Fax: 803-775-6270
Ms. Wygelia E Palmer, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 340 Rast St, Suite 2, Sumter, SC 29150 Phone: 803-972-1945
Speak & Swallow Therapy Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3870 Rhododendron St, Sumter, SC 29154 Phone: 843-543-4746
Mrs. Julie Joyner Strange, MCD CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1018 North Guignard Dr, Sumter, SC 29150 Phone: 803-773-5567 Fax: 803-775-4293
Carolina Speech Therapy Associates Sc,inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 644 Bultman Dr, Sumter, SC 29150 Phone: 803-774-0228 Fax: 803-774-0229

Johnathan Bradley Dickson, MSP SLP-CFY - Medicare Speech-Language Pathologist in Sumter, SC