| Jacob Lee Dickinson, MD | |
|
901 Burnett Dr, Mountain Home, AR 72653-2908 | |
| (870) 425-9120 | |
| Not Available |
| Full Name | Jacob Lee Dickinson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 901 Burnett Dr, Mountain Home, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396866364 | NPI | - | NPPES |
| 168854001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-5452 (Arkansas) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | E-5452 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Surgical Group | 6901902642 | 8 |
| Entity Name | Ozark Surgical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336155167 PECOS PAC ID: 6901902642 Enrollment ID: O20070426000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lee Dickinson, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 | Jacob Lee Dickinson, MD 901 Burnett Dr, Mountain Home, AR 72653-2908 Ph: (870) 425-9120 |
Anastasios Mitsakos, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 | |
Dr. Louis Woodrow Elkins Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr Ste 1-a, Mountain Home, AR 72653 Phone: 870-508-3200 Fax: 870-508-1359 | |
Nestor Arita, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr, Mountain Home, AR 72653 Phone: 508-320-0708 | |
Adam G. Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 130 E 9th St, Mountain Home, AR 72653 Phone: 870-425-6398 Fax: 879-425-6402 | |
John Michael Spore, MD Surgery Medicare: Medicare Enrolled Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 | |
Kent Peter Nachtigal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 Fax: 870-424-4470 | |
Dr. Jennifer Foster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-9120 |