Dr Tina D Dickerson, DO - Medicare Diagnostic Radiology in Edmond, OK

Dr Tina D Dickerson, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edmond, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Ou Health Partners Inc and her current practice location is 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 844-2601.

Dr Tina D Dickerson is licensed to practice in Oklahoma (license number 4183) 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 1609078559.

Contact Information

Dr Tina D Dickerson, DO
2601 Kelley Pointe Pkwy, Ste. 101,
Edmond, OK 73013-2995
(405) 844-2601
Not Available



Physician's Profile

Full NameDr Tina D Dickerson
GenderFemale
SpecialityDiagnostic Radiology
Experience21 Years
Location2601 Kelley Pointe Pkwy, Edmond, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tina D Dickerson attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2003
  NPI Data:
  • NPI Number: 1609078559
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 09/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8325103518
  • Enrollment ID: I20090223000594

Medical Identifiers

Medical identifiers for Dr Tina D Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609078559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4183 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Baptist Medical Center, IncOklahoma city, OKHospital
Mercy Hospital Oklahoma City, IncOklahoma city, OKHospital
O U Medical CenterOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ou Health Partners Inc5991105876779

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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 Tina D Dickerson allows following entities to bill medicare on her behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607

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Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

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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 Tina D Dickerson 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 Tina D Dickerson, DO
2601 Kelley Pointe Pkwy, Ste. 101,
Edmond, OK 73013-2995

Ph: (405) 844-2601
Dr Tina D Dickerson, DO
2601 Kelley Pointe Pkwy, Ste. 101,
Edmond, OK 73013-2995

Ph: (405) 844-2601

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Radiology Doctors in Edmond, OK

Laurie J Hast, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1208 Blue Wister Cv, Edmond, OK 73013
Phone: 405-255-4519    
Donald Wayne Nix, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 902 S Bryant Ave, Edmond, OK 73034
Phone: 405-348-1900    Fax: 405-348-0423
James Delbert Crooks, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 902 S Bryant Ave, Edmond, OK 73034
Phone: 405-348-1900    Fax: 405-348-0423
Robin E Acker, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1849 Fairmont Ln, Edmond, OK 73013
Phone: 405-659-4120    
Dr. Lori Ann Fredrick, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013
Phone: 405-844-2601    Fax: 405-844-2610
James Keith Cooper, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3509 French Park Dr, Ste E, Edmond, OK 73034
Phone: 405-285-6901    Fax: 405-285-6902
Rodney Alen Kernes, D.O.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 432 Pacific Crest Trl, Edmond, OK 73003
Phone: 952-595-1100    Fax: 612-294-4903

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