Dr Shirley Laurine Dickinson, MD in Marina, CA

Dr Shirley Laurine Dickinson, MD is a medicare enrolled "Family Medicine" physician in Marina, California. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Montage Medical Group, Plazita Medical Clinic Inc and her current practice location is 2930 2nd Ave Ste 200, Marina, California. You can reach out to her office (for appointments etc.) via phone at (831) 582-2100.

Dr Shirley Laurine Dickinson is licensed to practice in California (license number G56281) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679500565.

Contact Information

	Dr Shirley Laurine Dickinson, MD
	2930 2nd Ave Ste 200, Marina, CA 93933-6244
	(831) 582-2100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shirley Laurine Dickinson
Gender	Female
Speciality	Family Practice
Experience	42 Years
Location	2930 2nd Ave Ste 200, Marina, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shirley Laurine Dickinson attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1984

NPI Data:

NPI Number: 1679500565
Provider Enumeration Date: 06/27/2006
Last Update Date: 02/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2062307119
Enrollment ID: I20040217001100

Medical Identifiers

Medical identifiers for Dr Shirley Laurine Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679500565	NPI	-	NPPES
HSP40248F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0012X	Internal Medicine - Sleep Medicine	G56281 (California)	Secondary
207Q00000X	Family Medicine	G56281 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Hospital Of The Monterey Peninsula	Monterey, CA	Hospital
Watsonville Community Hospital	Watsonville, CA	Hospital
Salinas Valley Memorial Hospital	Salinas, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Montage Medical Group	6406901941	112
Plazita Medical Clinic Inc	6507934940	2

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 Shirley Laurine Dickinson allows following entities to bill medicare on her behalf.

Entity Name	Community Hospital Of The Monterey Peninsula
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225285810 PECOS PAC ID: 7214839125 Enrollment ID: O20040217001081

Entity Name	Plazita Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801808357 PECOS PAC ID: 6507934940 Enrollment ID: O20081013000007

Entity Name	Montage Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770710709 PECOS PAC ID: 6406901941 Enrollment ID: O20090904000027

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 Shirley Laurine Dickinson 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 Shirley Laurine Dickinson, MD 100 Wilson Rd Ste 100, Monterey, CA 93940-7885 Ph: (831) 649-1000	Dr Shirley Laurine Dickinson, MD 2930 2nd Ave Ste 200, Marina, CA 93933-6244 Ph: (831) 582-2100

Reviews and Comments

Family Medicine Doctors in Marina, CA

Dr. Jessica S. Craig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 9th St, Marina, CA 93933 Phone: 831-884-1171 Fax: 831-884-1024
Allison Kristi Musmanno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 299 12th St Ste A, Marina, CA 93933 Phone: 831-647-7652 Fax: 831-647-7940
Kenneth J Gjeltema, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave, 200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-620-0304
Dr. Jeffrey C Ettinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 2nd Ave Ste 200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-886-1529
Mary Chick, Family Medicine Medicare: Medicare Enrolled Practice Location: 2930 2nd Ave Ste 200, Marina, CA 93933 Phone: 831-582-2100
Dr. Nancy W Chang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2930 2nd Ave, #200, Marina, CA 93933 Phone: 831-582-2100 Fax: 831-886-1529
Deborah Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Reservation Rd, D, Marina, CA 93933 Phone: 831-971-8734

Dr Shirley Laurine Dickinson, MD - Medicare Family Practice in Marina, CA