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MR. JEREMY CHRISTIAN DICKINSON PA
NPI 1073295564
Physician Assistant in Baldwinsville, NY

Active since August 03, 2023PECOS Enrolled
8351 AZIMUTH DR, BALDWINSVILLE, NY 13027(315) 415-9613 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeremy Christian Dickinson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMY CHRISTIAN DICKINSON PA (NPI 1073295564) is an individual physician assistant in Baldwinsville, New York and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073295564
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JEREMY CHRISTIAN DICKINSONCredential: PA
Location Address8351 AZIMUTH DRBaldwinsville, NY 13027-6206
Mailing Address1445 Portland Ave Ste 309Rochester, NY 14621-3008 · (585) 342-2638
Phone(315) 415-9613
Sole ProprietorNo
Enumeration DateAugust 3, 2023
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1073295564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
8351 AZIMUTH DR, Baldwinsville, NY 13027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeremy Christian Dickinson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Dickinson's NPI number?

The NPI number for Jeremy Dickinson is 1073295564. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Jeremy Dickinson located?

Jeremy Dickinson practices at 8351 Azimuth Dr, Baldwinsville, NY 13027. The listed phone number is (315) 415-9613.

What is Jeremy Dickinson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeremy Dickinson enrolled in Medicare?

Yes. Jeremy Dickinson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Dickinson was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.