Kristin Lynn Dickson, MD - Medicare Pediatrics 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 NameKristin Lynn Dickson
GenderFemale
SpecialityPediatrics
Location111 Gateway Center Drive, Kernersville, North Carolina
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1427344985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 861old Winston Road, Suite 103, Kernersville, NC 27284
Phone: 336-802-2300    Fax: 336-802-2301
Shelley Rickman, PA-C
Pediatrics
Medicare: Medicare Enrolled
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.