Krista Dickerson, MS CCC-SLP is a
Speech-language Pathologist based in Russell, Kentucky. Krista Dickerson is licensed to practice in Kentucky (license number 287069) and her current practice location is
2000 Ashland Dr, Russell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 480-4000.
NPI number for Krista Dickerson is 1851139059 and her current mailing address is 119 Bayside Dr, Huntington, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851139059.
Healthcare Provider's Profile
Full Name | Krista Dickerson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2000 Ashland Dr, Russell, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851139059
- Provider Enumeration Date: 07/20/2024
- Last Update Date: 07/20/2024
Medical Identifiers
Medical identifiers for Krista Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851139059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 287069 (Kentucky) | Primary |
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. Krista Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Krista Dickerson, MS CCC-SLP 119 Bayside Dr, Huntington, WV 25705-2533 Ph: (304) 840-3009 | Krista Dickerson, MS CCC-SLP 2000 Ashland Dr, Russell, KY 41169-1830 Ph: (606) 480-4000 |
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