Dr Stephen L Dickson Jr, MD - Medicare Thoracic Surgery in Saint Joseph, MI

Dr Stephen L Dickson Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Joseph, Michigan. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Lakeland Hospitals At Niles And St Joseph Inc and his current practice location is 2500 Niles Rd Ste 6, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 408-1660.

Dr Stephen L Dickson Jr is licensed to practice in Michigan (license number 4301114501) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720086242.

Contact Information

Dr Stephen L Dickson Jr, MD
2500 Niles Rd Ste 6,
Saint Joseph, MI 49085-3268
(269) 408-1660
(269) 408-1665



Physician's Profile

Full NameDr Stephen L Dickson Jr
GenderMale
SpecialityThoracic Surgery
Experience30 Years
Location2500 Niles Rd Ste 6, Saint Joseph, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stephen L Dickson Jr attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1720086242
  • Provider Enumeration Date: 07/08/2005
  • Last Update Date: 06/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113831843
  • Enrollment ID: I20180717000130

Medical Identifiers

Medical identifiers for Dr Stephen L Dickson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720086242NPI-NPPES
50031859OtherKYPASSPORT- CTS
000057094VOtherKYHUMANA- CTS
64076821MedicaidKY
200455130AMedicaidIN
000000701004OtherKYANTHEM- CTS
200455130MedicaidIN
4001605OtherKYCIGNA- CTS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 43991 (Kentucky)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01058168A (Indiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 4301114501 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland HomecareBenton harbor, MIHome health agency
Lakeland Hospital, St JosephSt joseph, MIHospital
Lakeland Hospital WatervlietWatervliet, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Hospitals At Niles And St Joseph Inc751792903791

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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. Dr Stephen L Dickson Jr allows following entities to bill medicare on his behalf.
Entity NameLakeland Hospitals At Niles And St Joseph Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134220031
PECOS PAC ID: 7517929037
Enrollment ID: O20041027001172

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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. Dr Stephen L Dickson Jr 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
Dr Stephen L Dickson Jr, MD
1234 Napier Ave,
Saint Joseph, MI 49085-2112

Ph: (269) 983-8172
Dr Stephen L Dickson Jr, MD
2500 Niles Rd Ste 6,
Saint Joseph, MI 49085-3268

Ph: (269) 408-1660

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Saint Joseph, MI


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