| Mr Marc E Dicklin, PA -C | |
|
50 Buck Creek Rd Ste 100, Avon, CO 81620-5428 | |
| (970) 926-6340 | |
| (970) 926-6348 |
| Full Name | Mr Marc E Dicklin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 50 Buck Creek Rd Ste 100, Avon, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205837408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001351 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | PA.0001152 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Memorial Medical Group Llc | 1254876683 | 40 |
| Entity Name | Summit Memorial Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598469462 PECOS PAC ID: 1254876683 Enrollment ID: O20240710002657 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marc E Dicklin, PA -C Po Box 4330, Avon, CO 81620-4330 Ph: (970) 926-6340 | Mr Marc E Dicklin, PA -C 50 Buck Creek Rd Ste 100, Avon, CO 81620-5428 Ph: (970) 926-6340 |
Jason K Kron, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 300, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Kelly Ann Murphy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Jennifer L. Pope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Carly Kleiman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Casey Rebecca Farrell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 100, Avon, CO 81620 Phone: 970-926-6340 |
Anika Sasinski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |
Tania Erika Engle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |