Phyllis L Dickerson, LCSW in Gulfport, MS - Medicare Clinical Social Worker Provider

Phyllis L Dickerson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gulfport, Mississippi. She graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 8990 Lorraine Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 331-3310.

Phyllis L Dickerson is licensed to practice in Mississippi (license number C) 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 1114204807.

Contact Information

	Phyllis L Dickerson, LCSW
	8990 Lorraine Rd, Gulfport, MS 39503-4176
	(228) 331-3310
	(228) 284-1608

Map and Direction

Healthcare Provider's Profile

Full Name	Phyllis L Dickerson
Gender	Female
Speciality	Clinical Social Worker
Experience	44 Years
Location	8990 Lorraine Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phyllis L Dickerson graduated from medical school in 1980

NPI Data:

NPI Number: 1114204807
Provider Enumeration Date: 11/08/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0446504724
Enrollment ID: I20181127002689

Medical Identifiers

Medical identifiers for Phyllis L Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114204807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2253C (Alabama)	Secondary
1041C0700X	Social Worker - Clinical	C (Mississippi)	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. Phyllis L Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Phyllis L. Dickerson Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750802534 PECOS PAC ID: 9537413810 Enrollment ID: O20181127000699

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. Phyllis L 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
Phyllis L Dickerson, LCSW 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310	Phyllis L Dickerson, LCSW 8990 Lorraine Rd, Gulfport, MS 39503-4176 Ph: (228) 331-3310

Reviews and Comments

Social Worker in Gulfport, MS

Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710
Vivian Keller Tate, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1403 43rd Avenue, Gulfport, MS 39501 Phone: 228-897-7730 Fax: 228-575-0886

Phyllis L Dickerson, LCSW - Medicare Clinical Social Worker in Gulfport, MS