Dr Karenna Anne Dickerson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Foothill Ranch, California. Her current practice location is
26672 Portola Pkwy Ste 108, Foothill Ranch, California. You can reach out to her office (for appointments etc.) via phone at
(949) 829-5533.
Dr Karenna Anne Dickerson is licensed to practice in California (license number C146775) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295952810.
Physician's Profile
| Full Name | Dr Karenna Anne Dickerson |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 26672 Portola Pkwy Ste 108, Foothill Ranch, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295952810
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800948811
- Enrollment ID: I20171017003428
Medical Identifiers
Medical identifiers for Dr Karenna Anne Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295952810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | C146775 (California) | 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. Dr Karenna Anne Dickerson allows following entities to bill medicare on her behalf.
| Entity Name | Magella Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376640086
PECOS PAC ID: 7214827591
Enrollment ID: O20040318001666 |
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| Entity Name | Hoag Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936 |
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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 Karenna Anne 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 |
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Dr Karenna Anne Dickerson, MD
26672 Portola Pkwy Ste 108,
Foothill Ranch, CA 92610-1773
Ph: (949) 829-5533 | Dr Karenna Anne Dickerson, MD
26672 Portola Pkwy Ste 108,
Foothill Ranch, CA 92610-1773
Ph: (949) 829-5533 |
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