Mr Orlando Donnell Dickerson, CRNA in Tulsa, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Orlando Donnell Dickerson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Oklahoma, Pllc and his current practice location is 1923 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 744-3330.

Mr Orlando Donnell Dickerson is licensed to practice in Oklahoma (license number 100034) 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 1699164616.

Contact Information

	Mr Orlando Donnell Dickerson, CRNA
	1923 S Utica Ave, Tulsa, OK 74104-6520
	(918) 744-3330
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Orlando Donnell Dickerson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	1923 S Utica Ave, Tulsa, Oklahoma
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 Orlando Donnell Dickerson graduated from nursing school in 2014

NPI Data:

NPI Number: 1699164616
Provider Enumeration Date: 01/14/2015
Last Update Date: 02/17/2015

Medicare PECOS Information:

PECOS PAC ID: 1759609159
Enrollment ID: I20150415001233

Medical Identifiers

Medical identifiers for Mr Orlando Donnell Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699164616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	100034 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St John Medical Center, Inc	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Oklahoma, Pllc	1254519275	89

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 Orlando Donnell Dickerson allows following entities to bill medicare on his behalf.

Entity Name	St. John Anesthesia Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295

Entity Name	Northstar Anesthesia Of Oklahoma, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043516628 PECOS PAC ID: 1254519275 Enrollment ID: O20110622000357

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 Orlando Donnell 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 Orlando Donnell Dickerson, CRNA 1611 S Utica Ave, Box 217, Tulsa, OK 74104-4909 Ph: (918) 744-3664	Mr Orlando Donnell Dickerson, CRNA 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-3330

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939

Mr Orlando Donnell Dickerson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tulsa, OK