Dr Daniel Jackson Dickman, DO - Medicare Diagnostic Radiology in Boise, ID

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Dr Daniel Jackson Dickman, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sonoran Radiology Ltd, Boise Radiology Group Pllc and his current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2809.

Dr Daniel Jackson Dickman is licensed to practice in Idaho (license number O-1709) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902256548.

Contact Information

Dr Daniel Jackson Dickman, DO
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2809
(208) 381-1791

Map and Direction




Physician's Profile

Full NameDr Daniel Jackson Dickman
GenderMale
SpecialityDiagnostic Radiology
Experience8 Years
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Jackson Dickman graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1902256548
  • Provider Enumeration Date: 06/14/2016
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264834415
  • Enrollment ID: I20210709001289

Medical Identifiers

Medical identifiers for Dr Daniel Jackson Dickman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902256548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 009081 (Arizona)Secondary
208600000XSurgery R2701 (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New Mexico)Secondary
2085R0202XRadiology - Diagnostic Radiology O-1709 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Wood River Medical CenterKetchum, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonoran Radiology Ltd3375964505367
Boise Radiology Group Pllc963815325753

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. Dr Daniel Jackson Dickman allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameBanner Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770139958
PECOS PAC ID: 1850724386
Enrollment ID: O20191213001312
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412

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. Dr Daniel Jackson Dickman 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
Dr Daniel Jackson Dickman, DO
2894 W Neff St,
Boise, ID 83703-5404

Ph: (208) 794-0909		Dr Daniel Jackson Dickman, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2809

Reviews and Comments


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Phone: 208-367-2161    

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.

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