Kayla Nicole Dickerson, - Medicare Nurse Practitioner in Mathiston, MS

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Kayla Nicole Dickerson, is a medicare enrolled "Nurse Practitioner - Family" in Mathiston, Mississippi. Her current practice location is 24978 Ms Highway 15, Mathiston, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 634-3089.

Kayla Nicole Dickerson is licensed to practice in Mississippi (license number 907244) 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 1710792874.

Contact Information

Kayla Nicole Dickerson,
24978 Ms Highway 15,
Mathiston, MS 39752-6904
(662) 634-3089
(662) 634-3063

Map and Direction




Provider's Profile

Full NameKayla Nicole Dickerson
GenderFemale
SpecialityNurse Practitioner - Family
Location24978 Ms Highway 15, Mathiston, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710792874
  • Provider Enumeration Date: 02/07/2025
  • Last Update Date: 03/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264953199
  • Enrollment ID: I20250310000017

Medical Identifiers

Medical identifiers for Kayla Nicole Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710792874NPI-NPPES
907244OtherMSSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 907244 (Mississippi)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. Kayla Nicole Dickerson allows following entities to bill medicare on her behalf.
Entity NameWebster Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689197774
PECOS PAC ID: 8729354055
Enrollment ID: O20171031003130

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. Kayla Nicole Dickerson 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
Kayla Nicole Dickerson,
24978 Ms Highway 15,
Mathiston, MS 39752-6904

Ph: (662) 634-3089		Kayla Nicole Dickerson,
24978 Ms Highway 15,
Mathiston, MS 39752-6904

Ph: (662) 634-3089

Reviews and Comments


Nurse Practitioner Nurses in Mathiston, MS

Bette Carder, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 24849 Ms Hwy 15, Mathiston, MS 39752
Phone: 662-634-3089    Fax: 662-634-3063
Kathy Johnson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24978 Ms Highway 15, Mathiston, MS 39752
Phone: 662-634-3089    Fax: 662-634-3063
Ashleigh Tindall Flora,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 24975 Ms Hwy 15, Mathiston, MS 39752
Phone: 662-634-3089    
Robert Myers, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 24978 Ms Highway, Mathiston, MS 39752
Phone: 662-662-3089    Fax: 662-634-3063

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.