| Rian Jason Dickstein, MD | |
|
7580 Buckingham Blvd, Suite 110, Hanover, MD 21076-3181 | |
| (410) 760-9400 | |
| (410) 787-1911 |
| Full Name | Rian Jason Dickstein |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 7580 Buckingham Blvd, Hanover, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407026487 | NPI | - | NPPES |
| 310803100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | N5652 (Texas) | Secondary |
| 208800000X | Urology | D073974 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Saint Agnes Hospital | Baltimore, MD | Hospital |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Johns Hopkins Hospital, The | Baltimore, MD | Hospital |
| Medstar Harbor Hospital | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Urology Associates Llc | 4789673393 | 142 |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992520795 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Rian Jason Dickstein, MD 10200 Grand Central Ave Ste 220, Owings Mills, MD 21117-4366 Ph: (443) 738-2872 | Rian Jason Dickstein, MD 7580 Buckingham Blvd, Suite 110, Hanover, MD 21076-3181 Ph: (410) 760-9400 |
Aisha Khalali Taylor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2164 Nottoway Drive, Hanover, MD 21076 Phone: 667-274-3333 |