Dr David Michael Dickerson, MD in Evanston, IL

Dr David Michael Dickerson, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Evanston, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates and his current practice location is 2650 Ridge Ave., Department Of Anesthesia, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2287.

Dr David Michael Dickerson is licensed to practice in Illinois (license number 036132595) 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 1548581226.

Contact Information

	Dr David Michael Dickerson, MD
	2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201
	(847) 570-2287
	(847) 570-2921

Map and Direction

Physician's Profile

Full Name	Dr David Michael Dickerson
Gender	Male
Speciality	Anesthesiology
Experience	16 Years
Location	2650 Ridge Ave., Evanston, Illinois
Accepts Medicare Assignments	Yes. 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 David Michael Dickerson attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2008

NPI Data:

NPI Number: 1548581226
Provider Enumeration Date: 06/17/2010
Last Update Date: 10/30/2018

Medicare PECOS Information:

PECOS PAC ID: 0143456863
Enrollment ID: I20131202000135

Medical Identifiers

Medical identifiers for Dr David Michael Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548581226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	125054403 (Illinois)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	036132595 (Illinois)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	036132595 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Northwestern Memorial Hospital	Chicago, IL	Hospital
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore University Healthsystem Faculty Practice Associates	2163334699	1751

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 David Michael Dickerson allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 David Michael 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
Dr David Michael Dickerson, MD 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201-1718 Ph: (847) 570-2287	Dr David Michael Dickerson, MD 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Ph: (847) 570-2287

Reviews and Comments

Anesthesiology Doctors in Evanston, IL

Luke S Janik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Northshore University Health System; Dept Anesthesia, Evanston, IL 60201 Phone: 847-570-2000
Dr. Joseph Devin Roberts, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 216-276-3721
Dr. Kenneth Justin Naylor, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700
Bernard Wittels, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-6370
Kyle Petty, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Dept. Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760
Richard Gelfand, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248
Mark A Deshur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248

Dr David Michael Dickerson, MD - Medicare Anesthesiology in Evanston, IL