| Patricia A Dickerson, MD | |
|
1299 E Alex Bell Rd, Centerville, OH 45459-2658 | |
| (937) 436-1117 | |
| (937) 436-9576 |
| Full Name | Patricia A Dickerson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 1299 E Alex Bell Rd, Centerville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336132950 | NPI | - | NPPES |
| 0866648 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 350554000 (Ohio) | Primary |
| Entity Name | Advanced Dermatology Of North Central Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073528733 PECOS PAC ID: 7113058801 Enrollment ID: O20100624000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Dickerson, MD 1299 E Alex Bell Rd, Centerville, OH 45459-2658 Ph: (937) 436-1117 | Patricia A Dickerson, MD 1299 E Alex Bell Rd, Centerville, OH 45459-2658 Ph: (937) 436-1117 |
Dr. Barbara Baughman Cortez, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 273 Regency Ridge Dr, Centerville, OH 45459 Phone: 937-433-2130 Fax: 937-433-2157 | |
Dr. Gary D Palmer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6720 Loop Rd, Centerville, OH 45459 Phone: 937-433-4922 Fax: 937-433-6520 | |
Eugene Conte, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8940 Kingsridge Dr, Ste 104, Centerville, OH 45458 Phone: 937-436-1433 Fax: 937-439-7443 | |
Dr. Karl K Kellawan Ii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 220 E Spring Valley Pike, Centerville, OH 45458 Phone: 937-438-3376 Fax: 937-438-9424 | |
William Harry Abildgaard Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 400 N Main St Ste D, Centerville, OH 45459 Phone: 937-438-3376 Fax: 937-438-9424 |