Kenton Michael Dickison, PA-C is a medicare enrolled "Physician Assistant" in West Milton, Ohio. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Premier Health Specialists Inc and his current practice location is
425 Hamilton St, West Milton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 581-4971.
Kenton Michael Dickison is licensed to practice in Ohio (license number 50.006825RX) 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 1699364398.
Provider's Profile
| Full Name | Kenton Michael Dickison |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 425 Hamilton St, West Milton, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenton Michael Dickison graduated from nursing school in 2020
NPI Data:
- NPI Number: 1699364398
- Provider Enumeration Date: 01/16/2021
- Last Update Date: 01/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385050756
- Enrollment ID: I20210309002763
Medical Identifiers
Medical identifiers for Kenton Michael Dickison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699364398 | NPI | - | NPPES |
| 50.006825RX | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 50.006825RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Premier Health Specialists Inc | 5597708594 | 390 |
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. Kenton Michael Dickison 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 |
|---|
Kenton Michael Dickison, PA-C
425 Hamilton St,
West Milton, OH 45383-1634
Ph: (614) 581-4971 | Kenton Michael Dickison, PA-C
425 Hamilton St,
West Milton, OH 45383-1634
Ph: (614) 581-4971 |
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