Dickson Hollow is a
Clinic/center - Rehabilitation based in Menomonee Falls, Wisconsin. Dickson Hollow is licensed to practice in * (Not Available) (license number ) and their current practice location is
W156n4881 Pilgrim Rd, Menomonee Falls, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(651) 631-6570.
NPI number for Dickson Hollow is 1417644188 and their current mailing address is 2845 Hamline Ave N, Roseville, Minnesota. Dickson Hollow
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1417644188.
Healthcare Provider's Profile
| Full Name | Dickson Hollow |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | W156n4881 Pilgrim Rd, Menomonee Falls, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417644188
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 08/04/2023
Medical Identifiers
Medical identifiers for Dickson Hollow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417644188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (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. Dickson Hollow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dickson Hollow
2845 Hamline Ave N,
Roseville, MN 55113-7127
Ph: (651) 631-6415 | Dickson Hollow
W156n4881 Pilgrim Rd,
Menomonee Falls, WI 53051-6920
Ph: (651) 631-6570 |
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