Mr Marc T Dicker, PAC, LCPC is a
Physician Assistant based in Wichita, Kansas. Mr Marc T Dicker is licensed to practice in Kansas (license number PA-15-00156) and his current practice location is
7829 E Rockhill St, Suite 101, Wichita, Kansas. He can be reached at his office (for appointments etc.) via phone at
(316) 686-5195.
NPI number for Mr Marc T Dicker is 1366544553 and his current mailing address is 7829 E Rockhill St, Suite 101, Wichita, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366544553.
Healthcare Provider's Profile
| Full Name | Mr Marc T Dicker |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 7829 E Rockhill St, Wichita, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366544553
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 12/22/2010
Medical Identifiers
Medical identifiers for Mr Marc T Dicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366544553 | NPI | - | NPPES |
| 100352880A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LCPC-127 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | PA-15-00156 (Kansas) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA-15-00156 (Kansas) | Secondary |
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. Mr Marc T Dicker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marc T Dicker, PAC, LCPC
7829 E Rockhill St, Suite 101,
Wichita, KS 67206-3920
Ph: (316) 686-5195 | Mr Marc T Dicker, PAC, LCPC
7829 E Rockhill St, Suite 101,
Wichita, KS 67206-3920
Ph: (316) 686-5195 |
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