Dr Ian Douglas Dickey, MD | |
1104 Commons Ave, Cortland, NY 13045-1643 | |
(607) 758-3750 | |
(607) 758-3754 |
Full Name | Dr Ian Douglas Dickey |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1104 Commons Ave, Cortland, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487625265 | NPI | - | NPPES |
28615522 | Medicaid | CO | |
431557599 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 294218 (New York) | Secondary |
207X00000X | Orthopaedic Surgery | 016401 (Maine) | Primary |
Entity Name | Northern Maine Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568465144 PECOS PAC ID: 8426952987 Enrollment ID: O20040511000177 |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
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Dr Ian Douglas Dickey, MD 4900 S Monaco St Ste 210, Denver, CO 80237-3487 Ph: (303) 837-0072 | Dr Ian Douglas Dickey, MD 1104 Commons Ave, Cortland, NY 13045-1643 Ph: (607) 758-3750 |
Dr. Charley B Gates, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 Commons Ave, Cortland, NY 13045 Phone: 607-758-3750 | |
Dr. Blake M Marson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1122 Commons Ave, Cortland, NY 13045 Phone: 607-428-8004 Fax: 607-428-8003 | |
James Fuller Lawsing Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1095 Commons Ave, Cortland, NY 13045 Phone: 607-758-3750 Fax: 607-758-3754 | |
James Paul Pemberton, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-6571 Fax: 607-756-1007 |