| Miriam A Dickson, MD | |
|
601 Park Lake Dr, Ponte Vedra, FL 32081-0869 | |
| (305) 336-6406 | |
| (904) 593-9456 |
| Full Name | Miriam A Dickson |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 601 Park Lake Dr, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669881470 | NPI | - | NPPES |
| 024884800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME135925 (Florida) | Primary |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | The Nemours Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
| Entity Name | Im Sulzbacher Center For The Homeless, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710051354 PECOS PAC ID: 2860652641 Enrollment ID: O20130815000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam A Dickson, MD 601 Park Lake Dr, Ponte Vedra, FL 32081-0869 Ph: (305) 336-6406 | Miriam A Dickson, MD 601 Park Lake Dr, Ponte Vedra, FL 32081-0869 Ph: (305) 336-6406 |
Sherry Dianne Dekeyser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 203 Fort Wade Rd Unit 260, Ponte Vedra, FL 32081 Phone: 904-902-4408 | |
Dr. Kristin Meredith Scott, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 100 Captiva Dr, Ponte Vedra, FL 32081 Phone: 904-955-5388 |