Michael David Dick, PA-C
Individual provider Active NPI Physician Assistant · Rochester, MN
NPI 1376150714 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1376150714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 14231 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0002 - Phone
- (507) 422-6361
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
201 W Ctr St
Rochester, MN 55902-3003
Phone (507) 255-5123
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221029000242 | MN | Practitioner - Physician Assistant | 7719354034 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14231 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current |
Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- mdick132998@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14231 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0002
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdick132998@ehrdirect.mayoclinicmsg.org |
Other providers in Rochester, MN
- Wilfor Jhonathan Diaz Fernandez
- Juan Camilo Diaz Soto
- Mansour Y Dib
- Michele Denice Dicarlo
- Brice Dick
- Kelly Johanna Dicke
- Erin Dickerhoof
- Alison Dickinson
- Jake Joseph Dickinson
- Karen Dickinson
All providers in Rochester, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.