Timothy Dale Dickinson, MD - Medicare Anesthesiology in Edgewood, KY

Timothy Dale Dickinson, MD is a medicare enrolled "Anesthesiology" physician in Edgewood, Kentucky. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Anesthesia Group Practice Inc and his current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 341-7246.

Timothy Dale Dickinson is licensed to practice in Kentucky (license number 38335) 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 1255314423.

Contact Information

Timothy Dale Dickinson, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 341-7246
(859) 341-7867



Physician's Profile

Full NameTimothy Dale Dickinson
GenderMale
SpecialityAnesthesiology
Experience32 Years
Location1 Medical Village Dr, Edgewood, Kentucky
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:
  • Timothy Dale Dickinson graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1255314423
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 10/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8426942012
  • Enrollment ID: I20040213000012

Medical Identifiers

Medical identifiers for Timothy Dale Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255314423NPI-NPPES
10902391OtherCAQH
611077369OtherTAX ID
7580059OtherAETNA
000000311761OtherANTHEM BLUE SHIELD
200282600MedicaidIN
0310694MedicaidOH
64074628MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 38335 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Group Practice Inc1254245137361

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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. Timothy Dale Dickinson allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Group Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417951948
PECOS PAC ID: 1254245137
Enrollment ID: O20151204001398

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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. Timothy Dale 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
Timothy Dale Dickinson, MD
20 Medical Village Dr, Suite 258,
Edgewood, KY 41017-5401

Ph: (859) 341-7246
Timothy Dale Dickinson, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 341-7246

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Anesthesiology Doctors in Edgewood, KY

Raymond James Sullivan, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr, Independent Anesthesiologists. Psc, Edgewood, KY 41017
Phone: 859-341-7246    Fax: 859-341-7867
David Zangrando, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 849-341-7246    Fax: 859-341-7867
Marian Jeanne Gorham, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017
Phone: 859-341-7246    Fax: 859-341-7867
Richard Gerard Oliver, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017
Phone: 859-341-7246    Fax: 859-641-7867
Steven Peter Noll, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017
Phone: 859-341-7246    Fax: 859-341-7867
Dr. Oren Costantini, DO
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2000    Fax: 859-341-7867

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