Mr Jeremy Christian Dickinson, PA - Medicare Physician Assistant in Baldwinsville, NY

Mr Jeremy Christian Dickinson, PA is a medicare enrolled "Physician Assistant" in Baldwinsville, New York. His current practice location is 8351 Azimuth Dr, Baldwinsville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 415-9613.

Mr Jeremy Christian Dickinson is licensed to practice in * (Not Available) (license number ) 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 1073295564.

Contact Information

Mr Jeremy Christian Dickinson, PA
8351 Azimuth Dr,
Baldwinsville, NY 13027-6206
(315) 415-9613
Not Available

Map and Direction




Provider's Profile

Full NameMr Jeremy Christian Dickinson
GenderMale
SpecialityPhysician Assistant
Location8351 Azimuth Dr, Baldwinsville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073295564
  • Provider Enumeration Date: 08/03/2023
  • Last Update Date: 09/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527418870
  • Enrollment ID: I20231228001638

Medical Identifiers

Medical identifiers for Mr Jeremy Christian Dickinson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073295564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary

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. Mr Jeremy Christian Dickinson 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 AddressPractice Location Address
Mr Jeremy Christian Dickinson, PA
1445 Portland Ave Ste 309,
Rochester, NY 14621-3008

Ph: (585) 342-2638
Mr Jeremy Christian Dickinson, PA
8351 Azimuth Dr,
Baldwinsville, NY 13027-6206

Ph: (315) 415-9613

Reviews and Comments


Physician Assistant Nurses in Baldwinsville, NY

Joel Patrick Delaney, RPA
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Phone: 315-671-3440    Fax: 315-671-3449
Edward Felix Pospiech, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 3452 State Route 31, Baldwinsville Family Medical Care, Baldwinsville, NY 13027
Phone: 315-652-1325    Fax: 315-652-1972
Nikki Smith, RPAC
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Medicare: Medicare Enrolled
Practice Location: 8793 Pasture Gate Ln, Baldwinsville, NY 13027
Phone: 315-638-5933    
Mrs. Louise Ann Mongelluzzo, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 52 Artillery Ln, Baldwinsville, NY 13027
Phone: 315-652-3518    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.