Kristin Lynn Dickson, MD in Kernersville, NC

Kristin Lynn Dickson, MD is a medicare enrolled "Pediatrics" physician in Kernersville, North Carolina. Her current practice location is 111 Gateway Center Drive, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 996-9500.

Kristin Lynn Dickson is licensed to practice in North Carolina (license number 2014-01256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427344985.

Contact Information

	Kristin Lynn Dickson, MD
	111 Gateway Center Drive, Kernersville, NC 27284-2999
	(336) 996-9500
	(336) 996-2354

Map and Direction

Physician's Profile

Full Name	Kristin Lynn Dickson
Gender	Female
Speciality	Pediatrics
Location	111 Gateway Center Drive, Kernersville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427344985
Provider Enumeration Date: 06/23/2011
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9830310200
Enrollment ID: I20230711003420

Medical Identifiers

Medical identifiers for Kristin Lynn Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427344985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2014-01256 (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. Kristin Lynn Dickson allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Kristin Lynn Dickson 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
Kristin Lynn Dickson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Kristin Lynn Dickson, MD 111 Gateway Center Drive, Kernersville, NC 27284-2999 Ph: (336) 996-9500

Reviews and Comments

Pediatrics Doctors in Kernersville, NC

Rebecca P Ball, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 861 Old Winston Rd Ste 101, Kernersville, NC 27284 Phone: 336-904-0143 Fax: 336-904-0046
George Kirk Walker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Broad St, Kernersville, NC 27284 Phone: 336-993-8333 Fax: 336-993-5144
Leslie Rierson Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 861old Winston Road, Suite 103, Kernersville, NC 27284 Phone: 336-802-2300 Fax: 336-802-2301
Shelley Rickman, PA-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 861 Old Winston Rd Ste 103, Kernersville, NC 27284 Phone: 336-802-2300
Amy Jo Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 861 Old Winston Rd Ste 101, Kernersville, NC 27284 Phone: 336-904-0143 Fax: 336-904-0046
Cathy Marie Soldato-couture, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Broad St, Kernersville, NC 27284 Phone: 336-993-8333 Fax: 336-993-5144

Kristin Lynn Dickson, MD - Medicare Pediatrics in Kernersville, NC