Dickerman Hollister, MD - Medicare Internal Medicine in Greenwich, CT

Dickerman Hollister, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Greenwich, Connecticut. His current practice location is 77 Lafayette Pl, Greenwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 863-3737.

Dickerman Hollister is licensed to practice in Connecticut (license number 022791) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063420669.

Contact Information

Dickerman Hollister, MD
77 Lafayette Pl,
Greenwich, CT 06830-5426
(203) 863-3737
(203) 863-3741



Physician's Profile

Full NameDickerman Hollister
GenderMale
SpecialityInternal Medicine - Medical Oncology
Location77 Lafayette Pl, Greenwich, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063420669
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103710496
  • Enrollment ID: I20040209000877

Medical Identifiers

Medical identifiers for Dickerman Hollister such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063420669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RX0202XInternal Medicine - Medical Oncology 022791 (Connecticut)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. Dickerman Hollister allows following entities to bill medicare on his behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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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. Dickerman Hollister 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
Dickerman Hollister, MD
77 Lafayette Pl,
Greenwich, CT 06830-5426

Ph: (203) 863-3737
Dickerman Hollister, MD
77 Lafayette Pl,
Greenwich, CT 06830-5426

Ph: (203) 863-3737

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Internal Medicine Doctors in Greenwich, CT

Dr. Nicholas Harrison Browning, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 75 Holly Hill Ln, Greenwich, CT 06830
Phone: 203-863-3400    
Francesca Montanari, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 77 Lafayette Pl, Greenwich, CT 06830
Phone: 203-863-3700    
Dr. Lisa Kurian, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 75 Holly Hill Ln, Greenwich, CT 06830
Phone: 203-869-6960    Fax: 203-869-5103
Dr. Steven Smith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Perryridge Rd, Greenwich, CT 06830
Phone: 203-863-3911    
Dr. Marcelyn Carol Molloy, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 75 Holly Hill Ln, Greenwich, CT 06830
Phone: 203-869-6960    Fax: 203-869-5103
Dr. Alexander Delvecchio, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Holly Hill Ln, Suite 240, Greenwich, CT 06830
Phone: 203-863-4210    Fax: 203-622-1872
Dr. Sunil Rana, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lake Ave Ste 2, Greenwich, CT 06830
Phone: 203-869-7704    Fax: 203-661-8596

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