Rob D Dickerman, DO, PHD is a medicare enrolled "Neurological Surgery" physician in Addison, Texas. His current practice location is
16633 Dalas Parkway, Ste 150, Addison, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 490-0988.
Rob D Dickerman is licensed to practice in Texas (license number L9174) 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 1962424747.
Physician's Profile
| Full Name | Rob D Dickerman |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 16633 Dalas Parkway, Addison, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962424747
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 08/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 9537132154
- Enrollment ID: I20040812001406
Medical Identifiers
Medical identifiers for Rob D Dickerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962424747 | NPI | - | NPPES |
| 00X058 | Other | TX | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | L9174 (Texas) | Primary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | L9174 (Texas) | Secondary |
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. Rob D Dickerman allows following entities to bill medicare on his behalf.
| Entity Name | Rob Dickerman DO PhD PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942370960
PECOS PAC ID: 9739180472
Enrollment ID: O20070124000385 |
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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. Rob D Dickerman 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 |
|---|
Rob D Dickerman, DO, PHD
16633 Dalas Parkway, Ste 150,
Addison, TX 75001
Ph: (214) 490-0988 | Rob D Dickerman, DO, PHD
16633 Dalas Parkway, Ste 150,
Addison, TX 75001
Ph: (214) 490-0988 |
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