Dr Amanda Rachel Dickerson, MD in Northampton, MA - Pediatrics

Dr Amanda Rachel Dickerson, MD is a Pediatrics physician based in Northampton, Massachusetts. Dr Amanda Rachel Dickerson is licensed to practice in Massachusetts (license number 1015398) and her current practice location is 193 Locust St, Northampton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (413) 517-2226.

NPI number for Dr Amanda Rachel Dickerson is 1376741249 and her current mailing address is 193 Locust St, Northampton, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376741249.

Contact Information

	Dr Amanda Rachel Dickerson, MD
	193 Locust St, Northampton, MA 01060-2056
	(413) 517-2226
	(413) 584-1714

Physician's Profile

Full Name	Dr Amanda Rachel Dickerson
Gender	Female
Speciality	Pediatrics
Location	193 Locust St, Northampton, Massachusetts
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1376741249
Provider Enumeration Date: 07/03/2007
Last Update Date: 12/01/2023

Medical Identifiers

Medical identifiers for Dr Amanda Rachel Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376741249	NPI	-	NPPES
684702	Other		ANTHEM
200658010A	Medicaid	KS
1376741249	Medicaid	MO
A24058	Other		HEALTH LINK
200295930A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2010021085 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	2007017251 (Missouri)	Secondary
208000000X	Pediatrics	1015398 (Massachusetts)	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. Dr Amanda Rachel Dickerson 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
Dr Amanda Rachel Dickerson, MD 193 Locust St, Northampton, MA 01060-2056 Ph: (413) 517-2226	Dr Amanda Rachel Dickerson, MD 193 Locust St, Northampton, MA 01060-2056 Ph: (413) 517-2226

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Pediatrics Doctors in Northampton, MA

Dr. Eugene Jura, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Locust St, Northampton, MA 01060 Phone: 413-582-2792 Fax: 413-582-4675
Dr. Monica Nayakwadi Singer, MD AND MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Locust St, Northampton, MA 01060 Phone: 413-582-2792 Fax: 413-582-4675
Robert Bissell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 193 Locust St, Suite 2, Northampton, MA 01060 Phone: 413-584-8700 Fax: 413-584-1714
Diana E. Johanson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 193 Locust St, Ste. 2, Northampton, MA 01060 Phone: 413-584-8700 Fax: 413-584-1714
Dr. Lawrence A Ciccarelli, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Locust St, Cooley Dickinson Hospital, Northampton, MA 01060 Phone: 413-582-2000 Fax: 413-582-4664
Scott M Cochrane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 193 Locust St, Northampton, MA 01060 Phone: 413-584-8700 Fax: 413-584-1714

Dr Amanda Rachel Dickerson, MD - Pediatrics in Northampton, MA