Ms Vicki Dishon, MHS, PA-C in Fort Wayne, IN - Medicare Physician Assistant

Ms Vicki Dishon, MHS, PA-C is a medicare enrolled "Physician Assistant" in Fort Wayne, Indiana. Her current practice location is 1234 E Dupont Rd Ste 3, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 672-6590.

Ms Vicki Dishon is licensed to practice in Indiana (license number 10002438A) 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 1619141124.

Contact Information

	Ms Vicki Dishon, MHS, PA-C
	1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825-1545
	(260) 672-6590
	(260) 672-6599

Map and Direction

Provider's Profile

Full Name	Ms Vicki Dishon
Gender	Female
Speciality	Physician Assistant
Location	1234 E Dupont Rd Ste 3, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619141124
Provider Enumeration Date: 04/15/2008
Last Update Date: 07/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3476876038
Enrollment ID: I20180508000409

Medical Identifiers

Medical identifiers for Ms Vicki Dishon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619141124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.001964 (Ohio)	Secondary
363A00000X	Physician Assistant	10002438A (Indiana)	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. Ms Vicki Dishon 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
Ms Vicki Dishon, MHS, PA-C 3702 New Vision Dr, Bldg B, Fort Wayne, IN 46845-1703 Ph: (614) 777-5700	Ms Vicki Dishon, MHS, PA-C 1234 E Dupont Rd Ste 3, Fort Wayne, IN 46825-1545 Ph: (260) 672-6590

Reviews and Comments

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Ms Vicki Dishon, MHS, PA-C - Medicare Physician Assistant in Fort Wayne, IN