| Dr Crystal Dawnelle Dickerson, MD | |
|
721 S Auburn St, Kennewick, WA 99336-5629 | |
| (509) 547-2204 | |
| Not Available |
| Full Name | Dr Crystal Dawnelle Dickerson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 721 S Auburn St, Kennewick, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184665697 | NPI | - | NPPES |
| 73936006 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0035551 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 60959396 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Medical Group Colorado Pllc | 1759743347 | 101 |
| Entity Name | Afterours Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871626747 PECOS PAC ID: 6103865787 Enrollment ID: O20050503000653 |
| Entity Name | Spire Health Pathways |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972245595 PECOS PAC ID: 1254713803 Enrollment ID: O20220729001405 |
| Entity Name | Alpine Medical Group Colorado PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104501873 PECOS PAC ID: 1759743347 Enrollment ID: O20230814002966 |
| Entity Name | Colorado Health and Wellness PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447124375 PECOS PAC ID: 5395230759 Enrollment ID: O20251223001508 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Crystal Dawnelle Dickerson, MD Po Box 911322, Denver, CO 80291-1322 Ph: (888) 269-7001 | Dr Crystal Dawnelle Dickerson, MD 721 S Auburn St, Kennewick, WA 99336-5629 Ph: (509) 547-2204 |
Costina Mai-ly Papatheodorou, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7211 W Deschutes Ave Ste B, Kennewick, WA 99336 Phone: 509-221-6930 |
Zena Kuseybi, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7426 W Bonnie Pl, Kennewick, WA 99336 Phone: 509-783-5059 Fax: 509-736-1168 |
Maria Aleli Tabio Ello, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4309 W. 27th Ave., Suite 301, Kennewick, WA 99336 Phone: 509-222-2240 Fax: 509-222-2239 |
Ryan Thomas Burk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 W Clearwater Ave, Kennewick, WA 99336 Phone: 509-942-3291 Fax: 509-783-6827 |
Stephanie L. Wheeler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 Phone: 509-547-2204 |
Ciera Anne Todd, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Kennewick, WA 99336 Phone: 509-221-5520 Fax: 509-221-5521 |
Sheila K Dunlop, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222 |