| Stacey D Dickenson, MD | |
|
252 Rural Acres Dr, Beckley, WV 25801-3503 | |
| (304) 252-8551 | |
| (304) 252-1790 |
| Full Name | Stacey D Dickenson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 252 Rural Acres Dr, Beckley, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700978319 | NPI | - | NPPES |
| 001721686 | Other | BCBS | |
| 6700460000 | Medicaid | WV | |
| 54504 | Medicaid | WV | |
| 58599 | Medicaid | WV | |
| G21540 | Other | HEALTH NET | |
| 2136163 | Other | UNITEDHEALTLHCARE | |
| 323741 | Other | CARELINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20007 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey D Dickenson, MD 252 Rural Acres Dr, Beckley, WV 25801-3503 Ph: (304) 252-8551 | Stacey D Dickenson, MD 252 Rural Acres Dr, Beckley, WV 25801-3503 Ph: (304) 252-8551 |
Carlos Estanislao Lucero, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Carriage Drive, Beckley, WV 25801 Phone: 304-255-7456 Fax: 304-255-5899 | |
Dr. Petaiah Mohan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 194 Carriage Dr, Beckley, WV 25801 Phone: 304-255-6051 Fax: 304-255-6051 | |
Ramon Lacanilao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Mallard Court, Beckley, WV 25801 Phone: 304-255-0800 Fax: 304-255-1040 | |
Kim D Bennett, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 252 Rural Acres Dr, Beckley, WV 25801 Phone: 304-252-8551 Fax: 304-252-1790 | |
Dr. Michele Dawn Staton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S Kanawha St, Suite 110a, Beckley, WV 25801 Phone: 304-929-4646 Fax: 304-929-4649 | |
Dr. Malik Hamdan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1710 Harper Rd, Beckley, WV 25801 Phone: 304-256-4100 Fax: 304-254-3016 | |
Dr. Saraswathi Mohan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 194 Carriage Dr, Beckley, WV 25801 Phone: 304-255-6051 Fax: 304-255-6051 |