Mrs Michelle Lea Dickerson, CFNP in Jackson, MS

Mrs Michelle Lea Dickerson, CFNP is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. Her current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-4790.

Mrs Michelle Lea Dickerson is licensed to practice in Mississippi (license number R828866) 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 1295926384.

Contact Information

	Mrs Michelle Lea Dickerson, CFNP
	2500 North State Street, Jackson, MS 39216-4500
	(601) 815-4790
	(601) 984-6870

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Lea Dickerson
Gender	Female
Speciality	Nurse Practitioner
Location	2500 North State Street, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295926384
Provider Enumeration Date: 08/05/2007
Last Update Date: 01/25/2017

Medicare PECOS Information:

PECOS PAC ID: 9133391568
Enrollment ID: I20111007000243

Medical Identifiers

Medical identifiers for Mrs Michelle Lea Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295926384	NPI	-	NPPES
06626200	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R828866 (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. Mrs Michelle Lea Dickerson allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Mrs Michelle Lea 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
Mrs Michelle Lea Dickerson, CFNP 2500 North State Street, Jmm Room 2525, Jackson, MS 39216-4500 Ph: (601) 815-4790	Mrs Michelle Lea Dickerson, CFNP 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 815-4790

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Mrs Michelle Lea Dickerson, CFNP - Medicare Nurse Practitioner in Jackson, MS