Jeffrey W Dickerson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25880 Issued in KY

Practice address

991 Medical Park Drive
Ste 202
Maysville, KY 41056

Phone

(606) 759-8000

Fax

(606) 759-0461

NPI assigned

Nov 30, 2006

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 7

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

University of Louisville School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Meadowview Physician Practice LLCGroup PAC ID 9032276274, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
• Fleming County Hospital Hospital, Flemingsburg, KY, CCN 180780

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdickerson22887@bhkydirect.com
• Direct secure messaging: jeffrey.dickerson.1@19475.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadowview Physician Practice, LLC

  • Otolaryngology Physician
  • Maysville, KY
  • NPI 1760893275

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment Care Compare group
• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909
  Medicare reassignment
• Jeffrey W Dickerson MD LLC

  • Pulmonary Disease Physician
  • Maysville, KY
  • NPI 1942489299
  Authorized official Same address or phone
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Nicholasville, KY
  • NPI 1255805586

  Internal Medicine

  NPD
• Meadowview Physician Practice LLC

  • Hospitalist Physician
  • Maysville, KY
  • NPI 1669740072

  Internal Medicine

  NPD
• Meadowview Physician Practice LLC

  dba Meadowview Internal Medicine & Pediatric Associates

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1952152530
  NPD
• Commonwealth Sleep and Rehab, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lexington, KY
  • NPI 1164552642
  NPD (past)
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc.

  dba Baptist Health

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  Care Compare affiliation
• Fleming Medical Center LLC

  dba Fleming County Hospital

  • Critical Access Hospital
  • Flemingsburg, KY
  • NPI 1881726347
  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1346317575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173094",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DRIVE",
            "address_2": "STE 202",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "41056",
            "telephone_number": "606-759-8000",
            "fax_number": "606-759-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25880",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "25880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "K25580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00206691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P12034749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1210239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64258809",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473210",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000322098",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdickerson22887@bhkydirect.com",
            "affiliation": "N",
            "address_1": "801 Eastern Byp",
            "city": "Richmond",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404752751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denham Medical Clinic PSC
• Anne Denham, ED.S
• William Craig Denham, MD
• Joseph Randall Dennison, M.D.
• Dialysis Clinic Inc.
• Michelle A. Dillon, P.T.
• Patrick A Dillon, P.T.
• David W Doty, D.O.
• Mary Kay Doughman, CSW
• Carrie Downs, BA

• Internal Medicine Physician in Maysville, KY
• Providers in Maysville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.