David S Dickens

MD | Pediatric Hematology-Oncology | Male

---

Complete Profile:

David S Dickens basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	David S Dickens
Credential :	MD
Gender :	Male

Business Address:

David S Dickens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 Hawkins Dr Iowa City, IA, 52242 United States
Phone Number :	319-356-3595
Fax Number :	319-356-7659

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1720058092
NPI Entity Type :	Individual
First Enrolment Date :	26 Jan, 2006
Last Updated On :	10 Dec, 2018

Medicare Participation:

David S Dickens participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012184641
Medicare Enrollment ID :	I20181215000249
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	1996
Accepts Medicare?	Yes. David S Dickens accepts medicare insurance.

Group Practice Association:

David S Dickens is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which David S Dickens is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
State University Of Iowa	7618884230	1458	200 Hawkins Dr Iowa City, IA - 522421009 Ph: 3193561616	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David S Dickens are as mentioned. Primary taxonomy code for David S Dickens, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD-45793	IA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No	4301079456	MI
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	MD-45793	IA

Legacy Identifiers:

Other legacy medical identifiers of David S Dickens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
3504111911	Other	MI	BCBSM
4395466	MEDICAID	MI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	200 Hawkins Dr Iowa City, IA, 52242-1009 United States
Phone Number :	319-356-3595
Fax Number :	319-356-7659

Business Location:

Patients can refer following map for directions to David S Dickens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.