DR. MARY EVANS DICKERSON MD
NPI 1780377697
Dermatology in Springfield, IL
About Dr. Mary Evans Dickerson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY EVANS DICKERSON MD (NPI 1780377697) is an individual dermatology provider in Springfield, Illinois, licensed in Illinois (125082094) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mary Evans Dickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Dickerson's NPI number?
The NPI number for Mary Dickerson is 1780377697. It was assigned to this individual provider in the NPPES registry on May 29, 2023.
Where is Mary Dickerson located?
Mary Dickerson practices at 751 N Rutledge St Ste 2300, Springfield, IL 62702. The listed phone number is (217) 545-8000.
What is Mary Dickerson's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mary Dickerson enrolled in Medicare?
Yes. Mary Dickerson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Dickerson was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.