Tracy Lynn Dickison, CNS | |
400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 | |
(218) 786-8364 | |
Not Available |
Full Name | Tracy Lynn Dickison |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 12 Years |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225376338 | NPI | - | NPPES |
1225376338 | Medicaid | MN | |
1225376338 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SG0600X | Clinical Nurse Specialist - Gerontology | R161111-3 (Minnesota) | Secondary |
364SG0600X | Clinical Nurse Specialist - Gerontology | CNS0448 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Tracy Lynn Dickison, CNS 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Tracy Lynn Dickison, CNS 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Ph: (218) 786-8364 |
Diane Mae Kolquist, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Ella Dohlin, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Christine M Day, RN,MS,APRN,BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1502 London Rd, Suite 102, Duluth, MN 55812 Phone: 218-727-8228 | |
Ms. Ellen Leigh Dyer, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Mary Rachel Gerchman Smith, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Sandra Lee Carlson, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4000 |