| Dr Michael M Dickerson, MD | |
|
800 Garfield Ave, Healing Center At Ccmh, Parkersburg, WV 26101-5340 | |
| (304) 424-2228 | |
| (304) 420-7128 |
| Full Name | Dr Michael M Dickerson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 Garfield Ave, Parkersburg, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073512059 | NPI | - | NPPES |
| 89127TY | Medicaid | NC | |
| D0709 | Other | NC | MEDCOST # |
| 127TY | Other | NC | BCBS OF NC GROUP #015CK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 200001115 (North Carolina) | Primary |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Entity Name | Irene Benn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
| Mailing Address | Practice 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 |
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 |