Mackenzie Erin Dikeman, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

94-10183 Issued in KS

Practice address

1620 Charles PL
Manhattan, KS 66502-2750

Phone

(785) 776-1400

Fax

(785) 776-7392

NPI assigned

May 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Women'S Health Group, P.a.Group PAC ID 9739174749, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
• Manhattan Surgical Hospital LLC Hospital, Manhattan, KS, CCN 170190

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Women'S Health Group, P.a.

  • Obstetrics & Gynecology Physician
  • Manhattan, KS
  • NPI 1568465151

  KS, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517

  Hospital

  Care Compare affiliation
• Manhattan Surgical Hospital LLC

  • Special Hospital
  • Manhattan, KS
  • NPI 1629053228

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1053933523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-776-1400",
            "fax_number": "785-776-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKEMAN",
        "first_name": "MACKENZIE",
        "middle_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "94-10183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Brooke Diederich, LMSW
• William Travis Dierenfeldt, MD
• Eric Dean Dierksen, D.C.
• Felicia Dierksen, RD
• Lynn Difede, PT, DPT
• Dillon Companies LLC
• Dillon Companies LLC
• Kamryn Dillon
• Breckenridge Charles Dilly, O.D
• Sara Nicole Dirks, SLP

• All providers in Manhattan, KS
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.