Michael Charles Lick, - Medicare Physician Assistant in Bloomington, MN

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Michael Charles Lick, is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. His current practice location is 4300 Market Pte Dr Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (457) 495-2767.

Michael Charles Lick is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023793932.

Contact Information

Michael Charles Lick,
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435
(457) 495-2767
Not Available

Map and Direction




Provider's Profile

Full NameMichael Charles Lick
GenderMale
SpecialityPhysician Assistant
Location4300 Market Pte Dr Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023793932
  • Provider Enumeration Date: 06/19/2023
  • Last Update Date: 01/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971026535
  • Enrollment ID: I20250325002072

Medical Identifiers

Medical identifiers for Michael Charles Lick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023793932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Michael Charles Lick allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871934
PECOS PAC ID: 9537072657
Enrollment ID: O20031106000068

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. Michael Charles 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
Michael Charles Lick,
115 W 5th St # 2,
Duluth, MN 55806-2729

Ph: (612) 708-8024		Michael Charles Lick,
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (457) 495-2767

Reviews and Comments


Physician Assistant Nurses in Bloomington, MN

Jacob C Kruger, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 528-359-9880    
Meredith Jean Lorig, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Michelle Hopman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 W 98th St, Bloomington, MN 55420
Phone: 952-881-2651    Fax: 952-885-6022
Alex Jordan Krona, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 W 98th St, Bloomington, MN 55420
Phone: 855-324-7843    
Victoria Shepard Williams, PA-C, MPAS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Matthew Brian Hamilton Williams, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Jason B Kimmel, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 West 98th Street, Bloomington, MN 55420
Phone: 952-881-2651    Fax: 952-885-6065

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.