Dr Simon Leo Lick, MD in Grand Rapids, MN - Medicare Internal Medicine

Dr Simon Leo Lick, MD is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Minnesota. He went to University Of Minnesota Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Grand Itasca Clinic And Hospital and his current practice location is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 326-3401.

Dr Simon Leo Lick is licensed to practice in Minnesota (license number 54954) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922238823.

Contact Information

	Dr Simon Leo Lick, MD
	1601 Golf Course Rd, Grand Rapids, MN 55744-8648
	(218) 326-3401
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Simon Leo Lick
Gender	Male
Speciality	Internal Medicine
Experience	15 Years
Location	1601 Golf Course Rd, Grand Rapids, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Simon Leo Lick attended and graduated from University Of Minnesota Medical School in 2009

NPI Data:

NPI Number: 1922238823
Provider Enumeration Date: 07/26/2009
Last Update Date: 09/20/2018

Medicare PECOS Information:

PECOS PAC ID: 5092971176
Enrollment ID: I20120717000514

Medical Identifiers

Medical identifiers for Dr Simon Leo Lick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922238823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	54954 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Itasca Clinic And Hospital	8123939550	115

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 Simon Leo Lick allows following entities to bill medicare on his behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

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 Simon Leo Lick 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 Simon Leo Lick, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-3401	Dr Simon Leo Lick, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-3401

Reviews and Comments

Internal Medicine Doctors in Grand Rapids, MN

Dr. Daniel William Brody, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Road, Grand Rapids, MN 55744 Phone: 218-326-3401 Fax: 218-999-1461
Mrs. Katie Ann Reilley Greniger, MSN, FNP-BC Internal Medicine Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401
Brent A Schotl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401
Dr. Jamison L. Harker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Stacy Kate Friesen Holl, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Dr. Marc A. Fowler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000
Keith Murphy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000

Dr Simon Leo Lick, MD - Medicare Internal Medicine in Grand Rapids, MN