Tania Josephine Dickson-humphries, PA-C is a medicare enrolled "Physician Assistant" in Stateline, Nevada. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Barton Medical Foundation, Barton Medical Foundation and her current practice location is
155 Highway 50 Ste 102, Stateline, Nevada. You can reach out to her office (for appointments etc.) via phone at
(530) 541-5497.
Tania Josephine Dickson-humphries is licensed to practice in Nevada (license number PA1358) 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 1831453109.
Provider's Profile
| Full Name | Tania Josephine Dickson-humphries |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 155 Highway 50 Ste 102, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tania Josephine Dickson-humphries graduated from nursing school in 2012
NPI Data:
- NPI Number: 1831453109
- Provider Enumeration Date: 07/01/2012
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002062080
- Enrollment ID: I20120807000350
Medical Identifiers
Medical identifiers for Tania Josephine Dickson-humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831453109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA65355 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA1358 (Nevada) | Secondary |
| 363A00000X | Physician Assistant | PA1358 (Nevada) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA65355 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Barton Medical Foundation | 5395127682 | 87 |
| Barton Medical Foundation | 5395127682 | 87 |
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. Tania Josephine Dickson-humphries 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 |
|---|
Tania Josephine Dickson-humphries, PA-C
2170 South Ave,
South Lake Tahoe, CA 96150-7026
Ph: (530) 541-3420 | Tania Josephine Dickson-humphries, PA-C
155 Highway 50 Ste 102,
Stateline, NV 89449-9816
Ph: (530) 541-5497 |
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