Brooke Dickmeyer, DPT is a medicare enrolled "Physical Therapist" provider in Minneaplis, Minnesota. Her current practice location is
Boynton Health, 410 Church Street Se, Minneaplis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 625-8400.
Brooke Dickmeyer is licensed to practice in Minnesota (license number 9815) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255563680.
Healthcare Provider's Profile
| Full Name | Brooke Dickmeyer |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | Boynton Health, Minneaplis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255563680
- Provider Enumeration Date: 08/18/2009
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638225386
- Enrollment ID: I20191115000365
Medical Identifiers
Medical identifiers for Brooke Dickmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255563680 | NPI | - | NPPES |
| 0253485 | Other | OR | WASHINGTON L&I |
| 8568024 | Medicaid | WA | |
| P00836811 | Other | WA | RR MEDICARE |
| 500611221 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | OR 6019 (Oregon) | Secondary |
| 225100000X | Physical Therapist | PT60103916 (Washington) | Secondary |
| 225100000X | Physical Therapist | 9815 (Minnesota) | Primary |
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. Brooke Dickmeyer 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 |
|---|
Brooke Dickmeyer, DPT
Boynton Health Service, 410 Church Street Se,
Minneaplis, MN 55455
Ph: (612) 625-8400 | Brooke Dickmeyer, DPT
Boynton Health, 410 Church Street Se,
Minneaplis, MN 55455
Ph: (612) 625-8400 |
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