Stacey D Dickenson, MD - Pediatrics in Beckley, WV

Stacey D Dickenson, MD is a Pediatrics physician based in Beckley, West Virginia. Stacey D Dickenson is licensed to practice in West Virginia (license number 20007) and her current practice location is 252 Rural Acres Dr, Beckley, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 252-8551.

NPI number for Stacey D Dickenson is 1700978319 and her current mailing address is 252 Rural Acres Dr, Beckley, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700978319.

Contact Information

Stacey D Dickenson, MD
252 Rural Acres Dr,
Beckley, WV 25801-3503
(304) 252-8551
(304) 252-1790



Physician's Profile

Full NameStacey D Dickenson
GenderFemale
SpecialityPediatrics
Location252 Rural Acres Dr, Beckley, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700978319
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/17/2007

Medical Identifiers

Medical identifiers for Stacey D Dickenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700978319NPI-NPPES
G21540OtherHEALTH NET
54504MedicaidWV
6700460000MedicaidWV
2136163OtherUNITEDHEALTLHCARE
323741OtherCARELINK
58599MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 20007 (West Virginia)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. Stacey D Dickenson 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 AddressPractice Location Address
Stacey D Dickenson, MD
252 Rural Acres Dr,
Beckley, WV 25801-3503

Ph: (304) 252-8551
Stacey D Dickenson, MD
252 Rural Acres Dr,
Beckley, WV 25801-3503

Ph: (304) 252-8551

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› Verified 5 days ago


Pediatrics Doctors in Beckley, WV

Carlos Estanislao Lucero, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 403 Carriage Drive, Beckley, WV 25801
Phone: 304-255-7456    Fax: 304-255-5899
Dr. Petaiah Mohan, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 194 Carriage Dr, Beckley, WV 25801
Phone: 304-255-6051    Fax: 304-255-6051
Ramon Lacanilao, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 30 Mallard Court, Beckley, WV 25801
Phone: 304-255-0800    Fax: 304-255-1040
Kim D Bennett, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 252 Rural Acres Dr, Beckley, WV 25801
Phone: 304-252-8551    Fax: 304-252-1790
Dr. Michele Dawn Staton, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2401 S Kanawha St, Suite 110a, Beckley, WV 25801
Phone: 304-929-4646    Fax: 304-929-4649
Dr. Malik Hamdan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1710 Harper Rd, Beckley, WV 25801
Phone: 304-256-4100    Fax: 304-254-3016
Dr. Saraswathi Mohan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 194 Carriage Dr, Beckley, WV 25801
Phone: 304-255-6051    Fax: 304-255-6051

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