Patricia Jean Dickmann, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Spring Lake Park, Minnesota. Her current practice location is
7766 Highway 65 Ne, Spring Lake Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 205-4843.
Patricia Jean Dickmann is licensed to practice in Minnesota (license number 1215256334) 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 1215256334.
Physician's Profile
Full Name | Patricia Jean Dickmann |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 7766 Highway 65 Ne, Spring Lake Park, Minnesota |
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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: 1215256334
- Provider Enumeration Date: 05/28/2010
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870942352
- Enrollment ID: I20231208002151
Medical Identifiers
Medical identifiers for Patricia Jean Dickmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215256334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 1215256334 (Minnesota) | 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. Patricia Jean Dickmann allows following entities to bill medicare on her behalf.
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
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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. Patricia Jean Dickmann 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 |
Patricia Jean Dickmann, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 | Patricia Jean Dickmann, MD 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 |
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