Susane A Dickson, MD - Medicare Psychiatry & Neurology in Riverside, RI

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Susane A Dickson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1000.

Susane A Dickson is licensed to practice in Rhode Island (license number MD17188) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194804054.

Contact Information

Susane A Dickson, MD
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061
(401) 432-1000
(401) 432-1500

Map and Direction




Physician's Profile

Full NameSusane A Dickson
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194804054
  • Provider Enumeration Date: 11/03/2006
  • Last Update Date: 08/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385796002
  • Enrollment ID: I20190417000656

Medical Identifiers

Medical identifiers for Susane A Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194804054NPI-NPPES
258302000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 264742 (Massachusetts)Secondary
208000000XPediatrics ME71623 (Florida)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry MD17188 (Rhode Island)Primary

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. Susane A Dickson allows following entities to bill medicare on her behalf.
Entity NameBrockton Neighborhood Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225085319
PECOS PAC ID: 3870491699
Enrollment ID: O20031230000558
Entity NameCape Cod Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245286152
PECOS PAC ID: 4183614209
Enrollment ID: O20040512001098
Entity NamePhysicians Of Cape Cod Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679832364
PECOS PAC ID: 9638326671
Enrollment ID: O20120828000193
Entity NameLearnwell Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265134001
PECOS PAC ID: 7416397161
Enrollment ID: O20240429003436

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. Susane A Dickson 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 AddressPractice Location Address
Susane A Dickson, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: (014) 444-6779		Susane A Dickson, MD
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061

Ph: (401) 432-1000

Reviews and Comments


Psychiatry & Neurology Doctors in Riverside, RI

Justyna Piasecka, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1000
Dr. Ornella Judith Potter, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Tanuja P Gandhi, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Gregory Paul Stiener, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Dr. Achina P Stein, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 250 Wampanoag Trl Ste 305, Riverside, RI 02915
Phone: 401-270-4541    Fax: 401-270-4081
Noha Sadek, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Dr. Monissa J. Solberg, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1445 Wampanoag Trl Unit 202, Riverside, RI 02915
Phone: 401-437-4116    Fax: 401-433-0367

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.