Charles Wayne Dickerson


Address: 1601 Brookwood Ave, Duncan, OK 73533-1360
Phone: 5802523232

Charles Wayne Dickerson (NPI# 1962433748, PAC ID# 9133287303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1962433748
PAC ID by PECOS 9133287303
Professional Enrollment ID I20081017000226
Full Name Charles Wayne Dickerson
Address 1601 Brookwood Ave
Duncan
OK 73533-1360
Phone Number 5802523232
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370023 DUNCAN REGIONAL HOSPITAL, INC

Other Locations

Address Phone Organization
1601 Brookwood Ave, Duncan, OK 73533-1360 5802523232

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 1601 BROOKWOOD AVE
City DUNCAN
State OK
Zip 73533-1360

Physicians in the same zip code

Name Specialty Organization Address
Jeffrey Edwards Optometry Duncan Family Eye Care Inc 2204 N Hwy 81, Duncan, OK 73533-1221
Jody W Atchley Optometry Duncan Family Eye Care Inc 2204 N Hwy 81, Duncan, OK 73533-1221
Ralph M Lepien Chiropractic 1609 W Plato Rd, Duncan, OK 73533-1265
Amy L Shultz Rheumatology 1509 Brookwood Ave, Suite B, Duncan, OK 73533-1315
Dustin C Woods General Surgery 1509 Brookwood Ave, Suite C, Duncan, OK 73533-1315
Stephanie E Chambers Physical Therapy Valir Outpatient Clinics LLC 1507 Brookwood Ave, Duncan, OK 73533-1356
Kacy Lee Tibbetts Physical Therapy Valir Outpatient Clinics LLC 1507 Brookwood Ave, Duncan, OK 73533-1356
Montie Belle Oballa Physical Therapy Valir Outpatient Clinics LLC 1507 Brookwood Ave, Duncan, OK 73533-1356
Richard M Albertson General Surgery Richard M. Albertson Pllc 1607 Brookwood Ave, Duncan, OK 73533-1360
Jennifer J Loucks Physician Assistant Urgent Med LLC 2004 N Hwy 81, Duncan, OK 73533-1449
Find all physicians in zip 73533

Competitor

Search similar physicians

City DUNCAN
Zip Code 73533
Specialty FAMILY PRACTICE
City + Specialty DUNCAN + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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