Ms Kaitlyn Dickert, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Crystal River, Florida. Her current practice location is
1250 N Vantage Point Dr, Crystal River, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 795-0644.
Ms Kaitlyn Dickert is licensed to practice in Florida (license number 9112407) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396102307.
Healthcare Provider's Profile
Full Name | Ms Kaitlyn Dickert |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1250 N Vantage Point Dr, Crystal River, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396102307
- Provider Enumeration Date: 01/21/2016
- Last Update Date: 03/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779872882
- Enrollment ID: I20211215000177
Medical Identifiers
Medical identifiers for Ms Kaitlyn Dickert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396102307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND7665 (Florida) | Secondary |
363AM0700X | Physician Assistant - Medical | 9112407 (Florida) | Primary |
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. Ms Kaitlyn Dickert is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kaitlyn Dickert, PA-C 1250 N Vantage Point Dr, Crystal River, FL 34429-5736 Ph: (352) 795-0644 | Ms Kaitlyn Dickert, PA-C 1250 N Vantage Point Dr, Crystal River, FL 34429-5736 Ph: (352) 795-0644 |
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