Mr James Wiley Dickerson Iii, MD in Eugene, OR - Medicare Psychiatry & Neurology

Mr James Wiley Dickerson Iii, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Eugene, Oregon. His current practice location is 1200 Hilyard St, Suite S-460, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 685-1794.

Mr James Wiley Dickerson Iii is licensed to practice in Massachusetts (license number 1020407) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023004512.

Contact Information

	Mr James Wiley Dickerson Iii, MD
	1200 Hilyard St, Suite S-460, Eugene, OR 97401-8122
	(541) 685-1794
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr James Wiley Dickerson Iii
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1200 Hilyard St, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023004512
Provider Enumeration Date: 09/21/2005
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 9830130996
Enrollment ID: I20241120002801

Medical Identifiers

Medical identifiers for Mr James Wiley Dickerson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023004512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD150778 (Oregon)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	1020407 (Massachusetts)	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. Mr James Wiley Dickerson Iii allows following entities to bill medicare on his behalf.

Entity Name	Alliance For South Sound Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694

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. Mr James Wiley Dickerson Iii 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
Mr James Wiley Dickerson Iii, MD Po Box 24410, Eugene, OR 97402-0451 Ph: () -	Mr James Wiley Dickerson Iii, MD 1200 Hilyard St, Suite S-460, Eugene, OR 97401-8122 Ph: (541) 685-1794

Reviews and Comments

Psychiatry & Neurology Doctors in Eugene, OR

Erik Ward Fisher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 24111 Mlk Jr Blvd, Eugene, OR 97401 Phone: 541-682-3608 Fax: 541-682-3707
Melanie King Velez, DNP PMHNP BSN RN Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437
Charles Pelton Sprague Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 River Ave, Eugene, OR 97404 Phone: 541-607-0897 Fax: 541-607-7581
Jie Chen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 770 E 11th Ave, Eugene, OR 97401 Phone: 458-205-7000 Fax: 458-205-7022
Sunil Jacques, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite S-460, Eugene, OR 97401 Phone: 541-685-1794
Mrs. Shereen Marie Underwood, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 Executive Pkwy Ste 260, Eugene, OR 97401 Phone: 541-683-6236 Fax: 541-683-6650

Mr James Wiley Dickerson Iii, MD - Medicare Psychiatry & Neurology in Eugene, OR