Dr Matthew Douglas Dickson, DO - Medicare Emergency Medicine in San Diego, CA

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Dr Matthew Douglas Dickson, DO is a medicare enrolled "Emergency Medicine" physician in San Diego, California. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southbay Urgent Care Inc and his current practice location is 1628 Palm Ave, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 591-9999.

Dr Matthew Douglas Dickson is licensed to practice in Arizona (license number 4064) 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 1457388720.

Contact Information

Dr Matthew Douglas Dickson, DO
1628 Palm Ave,
San Diego, CA 92154-1027
(619) 591-9999
Not Available

Map and Direction




Physician's Profile

Full NameDr Matthew Douglas Dickson
GenderMale
SpecialityEmergency Medicine
Experience22 Years
Location1628 Palm Ave, San Diego, California
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 Matthew Douglas Dickson graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1457388720
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 11/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9133019565
  • Enrollment ID: I20040318000625

Medical Identifiers

Medical identifiers for Dr Matthew Douglas Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457388720NPI-NPPES
867690MedicaidAZ
XPY199940MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4064 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southbay Urgent Care Inc64061663393

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 Matthew Douglas Dickson allows following entities to bill medicare on his behalf.
Entity NameSenior Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629253505
PECOS PAC ID: 0446339469
Enrollment ID: O20080501000744
Entity NameSouthbay Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558746750
PECOS PAC ID: 6406166339
Enrollment ID: O20151105001144
Entity NameKm Dickson Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265642250
PECOS PAC ID: 6800997131
Enrollment ID: O20170419000106

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 Matthew Douglas Dickson 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 Matthew Douglas Dickson, DO
Po Box 660969,
Arcadia, CA 91066-0969

Ph: (626) 447-0296		Dr Matthew Douglas Dickson, DO
1628 Palm Ave,
San Diego, CA 92154-1027

Ph: (619) 591-9999

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.