Heather A Dickerson, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Bloomington, Indiana. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is
5921 W State Road 46, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 835-8866.
Heather A Dickerson is licensed to practice in Indiana (license number 71014255A) 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 1093599276.
Physician's Profile
| Full Name | Heather A Dickerson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 5921 W State Road 46, Bloomington, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather A Dickerson graduated from medical school in 2023
NPI Data:
- NPI Number: 1093599276
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284083809
- Enrollment ID: I20231207003787
Medical Identifiers
Medical identifiers for Heather A Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093599276 | NPI | - | NPPES |
| 300082939 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 28179813A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71014255A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
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. Heather A Dickerson allows following entities to bill medicare on her behalf.
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556 |
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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. Heather A 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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Heather A Dickerson, NP
5319 Misthaven Ln,
Greenwood, IN 46143-6262
Ph: (317) 370-7744 | Heather A Dickerson, NP
5921 W State Road 46,
Bloomington, IN 47404-9359
Ph: (812) 835-8866 |
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