Dr Simon Leo Lick, MD - Medicare Internal Medicine in Grand Rapids, MN

Dr Simon Leo Lick, MD is a medicare enrolled "Internal Medicine" physician in Grand Rapids, Minnesota. He went to University Of Minnesota Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Grand Itasca Clinic And Hospital and his current practice location is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 326-3401.

Dr Simon Leo Lick is licensed to practice in Minnesota (license number 54954) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922238823.

Contact Information

Dr Simon Leo Lick, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648
(218) 326-3401
Not Available

Map and Direction




Physician's Profile

Full NameDr Simon Leo Lick
GenderMale
SpecialityInternal Medicine
Experience15 Years
Location1601 Golf Course Rd, Grand Rapids, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Simon Leo Lick attended and graduated from University Of Minnesota Medical School in 2009
  NPI Data:
  • NPI Number: 1922238823
  • Provider Enumeration Date: 07/26/2009
  • Last Update Date: 09/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092971176
  • Enrollment ID: I20120717000514

Medical Identifiers

Medical identifiers for Dr Simon Leo Lick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922238823NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 54954 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Itasca Clinic And HospitalGrand rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Itasca Clinic And Hospital8123939550115

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Simon Leo Lick allows following entities to bill medicare on his behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209

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. Dr Simon Leo Lick 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
Dr Simon Leo Lick, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648

Ph: (218) 326-3401
Dr Simon Leo Lick, MD
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648

Ph: (218) 326-3401

Reviews and Comments


Internal Medicine Doctors in Grand Rapids, MN

Dr. Daniel William Brody, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Road, Grand Rapids, MN 55744
Phone: 218-326-3401    Fax: 218-999-1461
Mrs. Katie Ann Reilley Greniger, MSN, FNP-BC
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-3401    
Brent A Schotl, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-3401    
Dr. Jamison L. Harker, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Stacy Kate Friesen Holl, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Dr. Marc A. Fowler, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    
Keith Murphy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-5000    

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.