Dr Michael M Dickerson, MD - Medicare Emergency Medicine in Parkersburg, WV

Dr Michael M Dickerson, MD is a medicare enrolled "Emergency Medicine" physician in Parkersburg, West Virginia. His current practice location is 800 Garfield Ave, Healing Center At Ccmh, Parkersburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 424-2228.

Dr Michael M Dickerson is licensed to practice in North Carolina (license number 200001115) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073512059.

Contact Information

Dr Michael M Dickerson, MD
800 Garfield Ave, Healing Center At Ccmh,
Parkersburg, WV 26101-5340
(304) 424-2228
(304) 420-7128

Map and Direction




Physician's Profile

Full NameDr Michael M Dickerson
GenderMale
SpecialityEmergency Medicine
Location800 Garfield Ave, Parkersburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073512059
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 07/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0143133371
  • Enrollment ID: I20210823000250

Medical Identifiers

Medical identifiers for Dr Michael M Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073512059NPI-NPPES
89127TYMedicaidNC
D0709OtherNCMEDCOST #
127TYOtherNCBCBS OF NC GROUP #015CK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 200001115 (North Carolina)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 Michael M Dickerson allows following entities to bill medicare on his behalf.
Entity NameRosebud Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194757369
PECOS PAC ID: 6901704055
Enrollment ID: O20031226000337
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396022026
PECOS PAC ID: 0244405629
Enrollment ID: O20120105000013
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265719934
PECOS PAC ID: 7810163011
Enrollment ID: O20120109000961
Entity NameIrene Benn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841535317
PECOS PAC ID: 0840430724
Enrollment ID: O20130717000832

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 Michael M 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 AddressPractice Location Address
Dr Michael M Dickerson, MD
1602 Greenmont Hills Dr,
Vienna, WV 26105-3292

Ph: (304) 424-2228
Dr Michael M Dickerson, MD
800 Garfield Ave, Healing Center At Ccmh,
Parkersburg, WV 26101-5340

Ph: (304) 424-2228

Reviews and Comments


Emergency Medicine Doctors in Parkersburg, WV

Wayne B Cayton Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    Fax: 904-346-0113
Ethan Westbrook, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave Rm G102, Parkersburg, WV 26101
Phone: 304-424-4575    Fax: 304-424-4577
Dr. Andrew Christian Retzinger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    
Dr. Joseph Lantz, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-488-9093    
Keith Waggoner, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1824 Murdoch Ave, Parkersburg, WV 26101
Phone: 304-424-4111    Fax: 330-656-5901
Brian K Richardson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Garfield Ave, Parkersburg, WV 26101
Phone: 304-424-2111    Fax: 904-346-0113

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.