Dillon Medlock, MD is a
Student In An Organized Health Care Education/training Program physician based in Minneapolis, Minnesota. Dillon Medlock is licensed to practice in * (Not Available) (license number ) and his current practice location is 420 Delaware Street Se, Mmc 284, Minneapolis, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(612) 626-5454.
NPI number for Dillon Medlock is 1104446004 and his current mailing address is 420 Delaware Street Se, Mmc 284, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104446004.
Physician's Profile
Full Name | Dillon Medlock |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 420 Delaware Street Se, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104446004
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 06/01/2023
Medical Identifiers
Medical identifiers for Dillon Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104446004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 74288 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Dillon Medlock 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 |
Dillon Medlock, MD 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 Ph: (612) 626-5454 | Dillon Medlock, MD 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 Ph: (612) 626-5454 |
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