Dr Nicholas Dickson, DO in Eden Prairie, MN

Dr Nicholas Dickson, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. His current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Dr Nicholas Dickson is licensed to practice in Florida (license number OS18037) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902224017.

Contact Information

	Dr Nicholas Dickson, DO
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Dr Nicholas Dickson
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902224017
Provider Enumeration Date: 04/04/2014
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5698009702
Enrollment ID: I20190624002639

Medical Identifiers

Medical identifiers for Dr Nicholas Dickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902224017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	12726A (Wyoming)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	DR.0063511 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2148 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	82627 (Georgia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	OS18037 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicholas Dickson allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

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. Dr Nicholas Dickson 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
Dr Nicholas Dickson, DO 4208 Palacio Dr, Sarasota, FL 34238-4565 Ph: (414) 324-6930	Dr Nicholas Dickson, DO 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Dr Nicholas Dickson, DO - Medicare Radiology in Eden Prairie, MN