Mercedes Dickinson, PHD is a
Clinical Neuropsychologist based in Medford, Oregon. Mercedes Dickinson is licensed to practice in Oregon (license number 2052) and her current practice location is
1744 E Mcandrews Rd Ste J, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at
(832) 729-7687.
NPI number for Mercedes Dickinson is 1255650800 and her current mailing address is 308 Windsor Ave, Medford, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255650800.
Healthcare Provider's Profile
| Full Name | Mercedes Dickinson |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1744 E Mcandrews Rd Ste J, Medford, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255650800
- Provider Enumeration Date: 05/21/2010
- Last Update Date: 11/05/2023
Medical Identifiers
Medical identifiers for Mercedes Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255650800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 2052 (Oregon) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2052 (Oregon) | Primary |
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. Mercedes Dickinson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mercedes Dickinson, PHD 308 Windsor Ave, Medford, OR 97504-8052 Ph: (832) 729-7687 | Mercedes Dickinson, PHD 1744 E Mcandrews Rd Ste J, Medford, OR 97504-5576 Ph: (832) 729-7687 |
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