Thomas A Dickinson, MD in Provo, UT - Medicare Internal Medicine

Thomas A Dickinson, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Provo, Utah. His current practice location is 1055 N 500 W, Suite 100 Bldg B, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-1268.

Thomas A Dickinson is licensed to practice in Utah (license number 1660021205) 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 1376591354.

Contact Information

	Thomas A Dickinson, MD
	1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604-3305
	(801) 374-1268
	(801) 812-5454

Map and Direction

Physician's Profile

Full Name	Thomas A Dickinson
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	1055 N 500 W, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376591354
Provider Enumeration Date: 05/04/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8123016847
Enrollment ID: I20050323001435

Medical Identifiers

Medical identifiers for Thomas A Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376591354	NPI	-	NPPES
100002620	Other	UT	PALMETTO GBA
29-00040	Other	UT	UNITED HEALTHCARE
107006219101	Other	UT	IHC HEALTHPLANS
0049	Other	UT	DMBA
QM0000009178	Other	UT	ALTIUS
5285	Other	UT	PEHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	1660021205 (Utah)	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. Thomas A Dickinson allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Thomas A Dickinson 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
Thomas A Dickinson, MD 1055 N 500 W, Credentialing Department, Provo, UT 84604-3305 Ph: (801) 354-8225	Thomas A Dickinson, MD 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604-3305 Ph: (801) 374-1268

Reviews and Comments

Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290
Daniel N. Bennett, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366
Pace Romney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 210, Provo, UT 84604 Phone: 801-357-0280
Dr. Christopher Ryan Lew, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558
Albert Rivero, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310
Dr. Wenshu Yu, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945
William T. Stephenson Ii, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201

Thomas A Dickinson, MD - Medicare Internal Medicine in Provo, UT