Mr Evan Nathan Dickstein, NP-PMH - Medicare Nurse Practitioner in Frederick, MD

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Mr Evan Nathan Dickstein, NP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Frederick, Maryland. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Privia Medical Group Llc and his current practice location is 5301 Buckeystown Pike, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 733-0330.

Mr Evan Nathan Dickstein is licensed to practice in Maryland (license number R200789) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942688379.

Contact Information

Mr Evan Nathan Dickstein, NP-PMH
5301 Buckeystown Pike,
Frederick, MD 21704-8370
(301) 733-0330
(301) 733-4038

Map and Direction




Provider's Profile

Full NameMr Evan Nathan Dickstein
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location5301 Buckeystown Pike, Frederick, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Evan Nathan Dickstein graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1942688379
  • Provider Enumeration Date: 05/18/2015
  • Last Update Date: 02/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668773474
  • Enrollment ID: I20151221002534

Medical Identifiers

Medical identifiers for Mr Evan Nathan Dickstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942688379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R200789 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R200789 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Llc43856820611176

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. Mr Evan Nathan Dickstein allows following entities to bill medicare on his behalf.
Entity NameBrook Lane Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417928151
PECOS PAC ID: 9436140068
Enrollment ID: O20040521000256
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140522000040
Entity NameHefuna Mental Health Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629470547
PECOS PAC ID: 3577783240
Enrollment ID: O20180730000051
Entity NameLifespan Behavioral Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427677061
PECOS PAC ID: 4082041637
Enrollment ID: O20200221000259

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. Mr Evan Nathan Dickstein 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
Mr Evan Nathan Dickstein, NP-PMH
13121 Brook Lane,
Hagerstown, MD 21742-1945

Ph: (301) 733-0330		Mr Evan Nathan Dickstein, NP-PMH
5301 Buckeystown Pike,
Frederick, MD 21704-8370

Ph: (301) 733-0330

Reviews and Comments


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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.

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