Mrs Emmanuell Dickerson, APRN - Medicare Nurse Practitioner in Panama City, FL

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Mrs Emmanuell Dickerson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Panama City, Florida. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emerald Coast Behavioral Hospital Llc, Moore Medical Group Inc and her current practice location is 449 W 23rd St, Panama City, Florida. You can reach out to her office (for appointments etc.) via phone at (334) 618-2614.

Mrs Emmanuell Dickerson is licensed to practice in Florida (license number ARNP 9409105) 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 1336528173.

Contact Information

Mrs Emmanuell Dickerson, APRN
449 W 23rd St,
Panama City, FL 32405
(334) 618-2614
(334) 618-2614

Map and Direction




Provider's Profile

Full NameMrs Emmanuell Dickerson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location449 W 23rd St, Panama City, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Emmanuell Dickerson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1336528173
  • Provider Enumeration Date: 05/26/2015
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547560831
  • Enrollment ID: I20151118000333

Medical Identifiers

Medical identifiers for Mrs Emmanuell Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336528173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9409105 (Florida)Secondary
363LF0000XNurse Practitioner - Family 3-001041 (Alabama)Secondary
363LF0000XNurse Practitioner - Family ARNP 9409105 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emerald Coast Behavioral Hospital Llc327468736314
Moore Medical Group Inc963835488916

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. Mrs Emmanuell Dickerson allows following entities to bill medicare on her behalf.
Entity NameEmerald Coast Behavioral Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578795332
PECOS PAC ID: 3274687363
Enrollment ID: O20100105000568
Entity NameMoore Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578724183
PECOS PAC ID: 9638354889
Enrollment ID: O20110503000436
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20200323002065
Entity NamePost Acute Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114441565
PECOS PAC ID: 1951676568
Enrollment ID: O20200401003168
Entity NameCopilotiq Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316527203
PECOS PAC ID: 7810392040
Enrollment ID: O20220225000009
Entity NameCopilotiq Medical Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144969767
PECOS PAC ID: 9739559014
Enrollment ID: O20230105001588

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. Mrs Emmanuell 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 AddressPractice Location Address
Mrs Emmanuell Dickerson, APRN
110 James Way,
Panama City, FL 32409-1776

Ph: (334) 618-2614		Mrs Emmanuell Dickerson, APRN
449 W 23rd St,
Panama City, FL 32405

Ph: (334) 618-2614

Reviews and Comments


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Ms. Waneda Kay Wolfe, M.N., C.N.S., A.N.P.
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Robin Lynn Johnston, AGACNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.