Dr Tricia Lynn Dickens, MD is a medicare enrolled "Emergency Medicine" physician in Kellogg, Idaho. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Shoshone Medical Center, Trinity Health and her current practice location is
25 Jacobs Gulch Rd Ste 1, Kellogg, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 263-0649.
Dr Tricia Lynn Dickens is licensed to practice in Washington (license number MD60797587) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174542120.
Physician's Profile
| Full Name | Dr Tricia Lynn Dickens |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 30 Years |
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| Location | 25 Jacobs Gulch Rd Ste 1, Kellogg, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tricia Lynn Dickens attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1995
NPI Data:
- NPI Number: 1174542120
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 09/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446298764
- Enrollment ID: I20050418001344
Medical Identifiers
Medical identifiers for Dr Tricia Lynn Dickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174542120 | NPI | - | NPPES |
| 806518300 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 15304 (North Dakota) | Secondary |
| 207P00000X | Emergency Medicine | MD60797587 (Washington) | Primary |
| 207P00000X | Emergency Medicine | M8720 (Idaho) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shoshone Medical Center | 6103739107 | 25 |
| Trinity Health | 7911816020 | 283 |
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 Tricia Lynn Dickens allows following entities to bill medicare on her behalf.
| Entity Name | Shoshone Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043215437
PECOS PAC ID: 6103739107
Enrollment ID: O20050113001084 |
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| Entity Name | Shoshone Medical Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1043215437
PECOS PAC ID: 6103739107
Enrollment ID: O20061104000442 |
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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 Tricia Lynn Dickens 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 |
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Dr Tricia Lynn Dickens, MD
25 Jacobs Gulch Rd Ste 1,
Kellogg, ID 83837-2023
Ph: (208) 263-0649 | Dr Tricia Lynn Dickens, MD
25 Jacobs Gulch Rd Ste 1,
Kellogg, ID 83837-2023
Ph: (208) 263-0649 |
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