Mr Kevin L Dickerson, CRNA in Huntington, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Kevin L Dickerson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Huntington, West Virginia. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice River Cities Anesthesia Pllc, River Cities Anesthesia Pllc and his current practice location is 2900 1st Ave, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 526-1031.

Mr Kevin L Dickerson is licensed to practice in West Virginia (license number 54468) 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 1083786180.

Contact Information

	Mr Kevin L Dickerson, CRNA
	2900 1st Ave, Huntington, WV 25702-1241
	(304) 526-1031
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin L Dickerson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	2900 1st Ave, Huntington, West Virginia
Accepts Medicare Assignments	Yes. 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 Kevin L Dickerson graduated from nursing school in 2006

NPI Data:

NPI Number: 1083786180
Provider Enumeration Date: 11/14/2006
Last Update Date: 09/23/2011

Medicare PECOS Information:

PECOS PAC ID: 0042288052
Enrollment ID: I20040917000825

Medical Identifiers

Medical identifiers for Mr Kevin L Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083786180	NPI	-	NPPES
001721151	Other	WV	WV BLUE CROSS PROVIDER #
3810001843	Medicaid	WV
550696369-00	Other	WV	WV WORKERS COMP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	54468 (West Virginia)	Primary
367500000X	Nurse Anesthetist, Certified Registered	08320 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Medical Center	Huntington, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
River Cities Anesthesia Pllc	6002707015	60
River Cities Anesthesia Pllc	6002707015	60

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 Kevin L Dickerson allows following entities to bill medicare on his behalf.

Entity Name	River Cities Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699845164 PECOS PAC ID: 6002707015 Enrollment ID: O20040322000089

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 Kevin L 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 Address	Practice Location Address
Mr Kevin L Dickerson, CRNA Po Box 515, Barboursville, WV 25504-0515 Ph: (304) 736-6126	Mr Kevin L Dickerson, CRNA 2900 1st Ave, Huntington, WV 25702-1241 Ph: (304) 526-1031

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Huntington, WV

Lora Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741
Cindy L Childers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 205-322-1808 Fax: 205-322-1851
Mr. William D Howell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1031
Lisa R Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-399-2960
Mrs. Carol Elaine Porter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Ave, Suite 6019, Huntington, WV 25702 Phone: 304-399-0137 Fax: 304-399-0138
Jamie H Vance, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1234
Thressa Pemberton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000

Mr Kevin L Dickerson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Huntington, WV