Amy R Dickenson, NP in Pennington Gap, VA - Medicare Nurse Practitioner

Amy R Dickenson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pennington Gap, Virginia. Her current practice location is 208 Health Care Dr, Pennington Gap, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 546-4566.

Amy R Dickenson is licensed to practice in Virginia (license number 0024172952) 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 1932582350.

Contact Information

	Amy R Dickenson, NP
	208 Health Care Dr, Pennington Gap, VA 24277-2854
	(276) 546-4566
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy R Dickenson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	208 Health Care Dr, Pennington Gap, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932582350
Provider Enumeration Date: 07/02/2015
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9032429964
Enrollment ID: I20151105001157

Medical Identifiers

Medical identifiers for Amy R Dickenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932582350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001224944 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	20539 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	0024172952 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024172952 (Virginia)	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. Amy R Dickenson allows following entities to bill medicare on her behalf.

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. Amy R Dickenson 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
Amy R Dickenson, NP 6 6th St Ste 256, Bristol, TN 37620-2257 Ph: (423) 573-1502	Amy R Dickenson, NP 208 Health Care Dr, Pennington Gap, VA 24277-2854 Ph: (276) 546-4566

Reviews and Comments

Nurse Practitioner Nurses in Pennington Gap, VA

Gabrille Elaine Hamilton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 127 Health Care Dr, Suite 8, Pennington Gap, VA 24277 Phone: 276-546-5212 Fax: 276-546-1525
Mrs. Lisa Ann Wynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41718 W Morgan Ave Ste 101, Pennington Gap, VA 24277 Phone: 276-231-9228 Fax: 877-770-7177
Mrs. Barbara S Mullins, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1119 Lake St, Pennington Gap, VA 24277 Phone: 276-546-1182 Fax: 276-546-5289
Mary Gehring Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Combs Rd, Pennington Gap, VA 24277 Phone: 276-546-1440
Mrs. Mona Speak, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Health Care Dr, Pennington Gap, VA 24277 Phone: 276-546-5212 Fax: 423-390-6820
Karen Renee Robinette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Health Care Dr, Pennington Gap, VA 24277 Phone: 423-573-1502
Maryann Collins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 185 Redwood Ave, Suite 102, Pennington Gap, VA 24277 Phone: 276-546-5310

Amy R Dickenson, NP - Medicare Nurse Practitioner in Pennington Gap, VA