| Don R Dickerson, MD | |
|
803 W Market St Ste 100, Lima, OH 45805-2796 | |
| (419) 996-5063 | |
| (419) 996-5502 |
| Full Name | Don R Dickerson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 803 W Market St Ste 100, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194825935 | NPI | - | NPPES |
| 119369400 | Medicaid | WY | |
| 312715 | Other | WY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 6812A (Wyoming) | Primary |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | Memorial Hospital of Sweetwater County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20040209000957 |
| Entity Name | Memorial Hospital of Sweetwater County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20230717002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Don R Dickerson, MD 1920 Evans Ave, Cheyenne, WY 82001-3716 Ph: (307) 637-5339 | Don R Dickerson, MD 803 W Market St Ste 100, Lima, OH 45805-2796 Ph: (419) 996-5063 |
Peter M Laye, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 N Eastown Rd, Lima, OH 45807 Phone: 419-998-4486 |
Dr. Sandra J Herrington, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 803 W Market St, Suite 100, Lima, OH 45805 Phone: 419-996-5063 Fax: 419-996-5502 |
Darlene Weyer, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 525 N Eastown Rd, Lima, OH 45807 Phone: 419-998-4498 |
Patricia Lynn Mccutchan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 |
Peter G Knabe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9023 Fax: 419-866-5453 |
Ahmed M Akl, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 803 W Market St Ste 100, Lima, OH 45805 Phone: 419-996-5063 |
Dr. Jeffrey Alan Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9023 Fax: 419-866-5453 |