| Tracy Lynn Dickison, CNS | |
|
400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Tracy Lynn Dickison |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 14 Years |
| Location | 400 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225376338 | NPI | - | NPPES |
| 1225376338 | Medicaid | MN | |
| 1225376338 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | R161111-3 (Minnesota) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | CNS0448 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Wound Care Minnesota Pllc | 2769722511 | 15 |
| Entity Name | Integrated Wound Care Minnesota Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205390457 PECOS PAC ID: 2769722511 Enrollment ID: O20190314001268 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Lynn Dickison, CNS 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Tracy Lynn Dickison, CNS 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Ph: (218) 786-8364 |
Diane Mae Kolquist, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Ella Dohlin, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Christine M Day, RN,MS,APRN,BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1502 London Rd, Suite 102, Duluth, MN 55812 Phone: 218-727-8228 | |
Ms. Ellen Leigh Dyer, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Mary Rachel Gerchman Smith, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Sandra Lee Carlson, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4000 |