Mrs Taylor Griffin Dickerson, MD in Longview, TX

Mrs Taylor Griffin Dickerson, MD is a medicare enrolled "Dermatology" physician in Longview, Texas. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 2018 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Wallis Dermatology Associates Pllc and her current practice location is 3535 N Fourth St Ste 400, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 757-3881.

Mrs Taylor Griffin Dickerson is licensed to practice in Texas (license number T7197) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154825974.

Contact Information

	Mrs Taylor Griffin Dickerson, MD
	3535 N Fourth St Ste 400, Longview, TX 75605-0038
	(903) 757-3881
	(903) 757-5948

Map and Direction

Physician's Profile

Full Name	Mrs Taylor Griffin Dickerson
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	3535 N Fourth St Ste 400, Longview, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Taylor Griffin Dickerson attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2018

NPI Data:

NPI Number: 1154825974
Provider Enumeration Date: 03/19/2018
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 5597012906
Enrollment ID: I20220524002115

Medical Identifiers

Medical identifiers for Mrs Taylor Griffin Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154825974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	T7197 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallis Dermatology Associates Pllc	0749440188	10

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. Mrs Taylor Griffin Dickerson allows following entities to bill medicare on her behalf.

Entity Name	Wallis Dermatology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396945234 PECOS PAC ID: 0749440188 Enrollment ID: O20120322000343

Entity Name	Oliver Street 5.01(a) Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189

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. Mrs Taylor Griffin Dickerson 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
Mrs Taylor Griffin Dickerson, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881	Mrs Taylor Griffin Dickerson, MD 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881

Reviews and Comments

Dermatology Doctors in Longview, TX

Luke Stewart Wallis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Blake A Robbins, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-232-8230 Fax: 903-232-8236
Matthew Thomas Hoffmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1402 N 4th St, Longview, TX 75601 Phone: 903-757-8878 Fax: 903-757-5985
Dr. Robert Stanley Taylor Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Dr. Mark S Wallis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Laura Paul Fite, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948

Mrs Taylor Griffin Dickerson, MD - Medicare Dermatology in Longview, TX