Thomas A Dickinson, MD - Medicare Internal Medicine in Provo, UT

Thomas A Dickinson, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Provo, Utah. His current practice location is 1055 N 500 W, Suite 100 Bldg B, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-1268.

Thomas A Dickinson is licensed to practice in Utah (license number 1660021205) 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 1376591354.

Contact Information

Thomas A Dickinson, MD
1055 N 500 W, Suite 100 Bldg B,
Provo, UT 84604-3305
(801) 374-1268
(801) 812-5454



Physician's Profile

Full NameThomas A Dickinson
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location1055 N 500 W, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376591354
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123016847
  • Enrollment ID: I20050323001435

Medical Identifiers

Medical identifiers for Thomas A Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376591354NPI-NPPES
100002620OtherUTPALMETTO GBA
29-00040OtherUTUNITED HEALTHCARE
107006219101OtherUTIHC HEALTHPLANS
0049OtherUTDMBA
QM0000009178OtherUTALTIUS
5285OtherUTPEHP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 1660021205 (Utah)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. Thomas A Dickinson allows following entities to bill medicare on his behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

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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. Thomas A Dickinson 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
Thomas A Dickinson, MD
1055 N 500 W, Credentialing Department,
Provo, UT 84604-3305

Ph: (801) 354-8225
Thomas A Dickinson, MD
1055 N 500 W, Suite 100 Bldg B,
Provo, UT 84604-3305

Ph: (801) 374-1268

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Some HIV-positive people taking longer to initiate treatment

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› Verified 4 days ago


Internal Medicine Doctors in Provo, UT

Dr. Christopher Gordon, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 745 N 500 W Ste 200, Provo, UT 84601
Phone: 801-375-9292    Fax: 801-375-9290
Daniel N. Bennett, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604
Phone: 801-373-4366    
Dr. Christopher Ryan Lew, DO
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-960-7558    
Albert Rivero, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604
Phone: 801-357-8310    
Dr. Wenshu Yu, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604
Phone: 801-818-1940    Fax: 801-818-1945
William T. Stephenson Ii, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604
Phone: 801-357-8200    Fax: 801-357-8201
Gregory E Craner, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604
Phone: 801-374-1268    Fax: 801-429-8041

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