Keri Marlene Dickson, FNP in Walhalla, SC - Medicare Nurse Practitioner

Keri Marlene Dickson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Walhalla, South Carolina. Her current practice location is 103 Whitetail Dr, Walhalla, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 638-3444.

Keri Marlene Dickson is licensed to practice in South Carolina (license number 20361) 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 1902351190.

Contact Information

	Keri Marlene Dickson, FNP
	103 Whitetail Dr, Walhalla, SC 29691-5837
	(864) 638-3444
	(864) 638-3445

Map and Direction

Provider's Profile

Full Name	Keri Marlene Dickson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	103 Whitetail Dr, Walhalla, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902351190
Provider Enumeration Date: 08/17/2016
Last Update Date: 11/06/2017

Medicare PECOS Information:

PECOS PAC ID: 2668750084
Enrollment ID: I20161104001506

Medical Identifiers

Medical identifiers for Keri Marlene Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902351190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20361 (South Carolina)	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. Keri Marlene Dickson allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Woodruff Road Urgent Care Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598073496 PECOS PAC ID: 7911182084 Enrollment ID: O20110505000224

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. Keri Marlene 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 Address	Practice Location Address
Keri Marlene Dickson, FNP 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 638-3444	Keri Marlene Dickson, FNP 103 Whitetail Dr, Walhalla, SC 29691-5837 Ph: (864) 638-3444

Reviews and Comments

Nurse Practitioner Nurses in Walhalla, SC

Ms. Christina Diane Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076
Jacqueline Gabrielle Wiles, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076 Fax: 843-985-9562
Michelle Marie Deem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Booker Dr, Walhalla, SC 29691 Phone: 864-656-3076 Fax: 843-985-9562
Margot Veronique Rabren, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Whitetail Dr, Walhalla, SC 29691 Phone: 864-638-3444 Fax: 864-638-3445

Keri Marlene Dickson, FNP - Medicare Nurse Practitioner in Walhalla, SC