Makayla Marie Dickovich, PA-C in Waconia, MN - Medicare Physician Assistant

Makayla Marie Dickovich, PA-C is a medicare enrolled "Physician Assistant - Medical" in Waconia, Minnesota. Her current practice location is 424 W State Highway 5, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-4461.

Makayla Marie Dickovich is licensed to practice in * (Not Available) (license number ) 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 1457042236.

Contact Information

	Makayla Marie Dickovich, PA-C
	424 W State Highway 5, Waconia, MN 55387-1795
	(952) 442-4461
	(952) 442-1547

Map and Direction

Provider's Profile

Full Name	Makayla Marie Dickovich
Gender	Female
Speciality	Physician Assistant - Medical
Location	424 W State Highway 5, Waconia, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457042236
Provider Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3173985587
Enrollment ID: I20230817000947

Medical Identifiers

Medical identifiers for Makayla Marie Dickovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457042236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Makayla Marie Dickovich 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
Makayla Marie Dickovich, PA-C 424 W State Highway 5, Waconia, MN 55387-1795 Ph: (952) 442-4461	Makayla Marie Dickovich, PA-C 424 W State Highway 5, Waconia, MN 55387-1795 Ph: (952) 442-4461

Reviews and Comments

Physician Assistant Nurses in Waconia, MN

Laurie K. Grotzinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 400, Waconia, MN 55387 Phone: 952-442-7804
Ms. To Uyen T Pham, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191
Levon John Mueller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903
Nicole J Charles, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 Fax: 952-974-3201
Sommer Nicole Vaughan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903
Elizabeth Anne Radke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191
Sarah Talbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191

Makayla Marie Dickovich, PA-C - Medicare Physician Assistant in Waconia, MN