Ms Kassandra A Dickens, CRNP - Medicare Nurse Practitioner in Severn, MD

Ms Kassandra A Dickens, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Severn, Maryland. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mandm Behavioral Health Solutions and her current practice location is 1417 Winter Pine Trl, Severn, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 675-6471.

Ms Kassandra A Dickens is licensed to practice in Maryland (license number R163196) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871890301.

Contact Information

Ms Kassandra A Dickens, CRNP
1417 Winter Pine Trl,
Severn, MD 21144-1506
(301) 675-6471
(410) 832-5766

Map and Direction




Provider's Profile

Full NameMs Kassandra A Dickens
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1417 Winter Pine Trl, Severn, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kassandra A Dickens graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1871890301
  • Provider Enumeration Date: 02/18/2011
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719163278
  • Enrollment ID: I20110517000711

Medical Identifiers

Medical identifiers for Ms Kassandra A Dickens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871890301NPI-NPPES
9115660OtherMDAETNA PPO
6602616OtherMDAETNA HMO
246893OtherMDEHP/PRIORITY PARTNERS
P00936839OtherMDRAILROAD MEDICARE
0114OtherMDCAREFIRST BCBS BLUECHOICE
553221300MedicaidMD
97285701OtherMDCAREFIRST BCBS OF MD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R163196 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R163196 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mandm Behavioral Health Solutions13556344376

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. Ms Kassandra A Dickens allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043378656
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1942546486
PECOS PAC ID: 3779495858
Enrollment ID: O20141111002041
Entity NameM&m Behavioral Health Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134525710
PECOS PAC ID: 1355634437
Enrollment ID: O20160727000859
Entity NameMoral Peak Mental Health & Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518625219
PECOS PAC ID: 4688060569
Enrollment ID: O20220331002512

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. Ms Kassandra A Dickens 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
Ms Kassandra A Dickens, CRNP
1417 Winter Pine Trl,
Severn, MD 21144-1506

Ph: (301) 675-6471
Ms Kassandra A Dickens, CRNP
1417 Winter Pine Trl,
Severn, MD 21144-1506

Ph: (301) 675-6471

Reviews and Comments


Nurse Practitioner Nurses in Severn, MD

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Practice Location: 1778 Grande View Ave, Severn, MD 21144
Phone: 240-501-8616    
Ms. Adeline L Azong,
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Medicare: Medicare Enrolled
Practice Location: 1603 Sun High Ter, Severn, MD 21144
Phone: 240-603-3340    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.