Evan K Dicken (NPI# 1912050519, PAC ID# 0244330272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912050519 |
| PAC ID by PECOS | 0244330272 |
| Professional Enrollment ID | I20070705000322 |
| Full Name | Evan K Dicken |
| Organization Legal Name | EAST SIDE FAMILY MEDICINE, PSC |
| Address |
601 Versailles Rd Frankfort KY 40601-3857 |
| Phone Number | 5026953946 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719950914 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180127 | FRANKFORT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 Versailles Rd, Frankfort, KY 40601-3857 | 5026953946 | EAST SIDE FAMILY MEDICINE, PSC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 82% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 80% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 16% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 38% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 1% |
| Organization Legal Name | EAST SIDE FAMILY MEDICINE, PSC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nisha Patel Prabhu | Physician Assistant | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Elizabeth D Todd | Internal Medicine | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Lindsay J Cassaro | Physician Assistant | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Allen Courtney Haddix | Family Medicine | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Street Address |
601 VERSAILLES RD |
| City | FRANKFORT |
| State | KY |
| Zip | 40601-3857 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nisha Patel Prabhu | Physician Assistant | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Elizabeth D Todd | Internal Medicine | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Lindsay J Cassaro | Physician Assistant | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Allen Courtney Haddix | Family Medicine | East Side Family Medicine, Psc | 601 Versailles Rd, Frankfort, KY 40601-3857 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Fricker Jr | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Irma L Altamirano | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Danny W Thacker | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| John K Shekleton | Internal Medicine | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Amy Antle | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Susan L Payton | Nurse Practitioner | 1008 Mojave Trl, Frankfort, KY 40601-1756 | |
| D K Adams | Chiropractic | 692 Teton Trl, Frankfort, KY 40601-1766 | |
| Tammy N Bailey | Nurse Practitioner | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Richard Susner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Kimberly A Haubner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Find all physicians in zip 40601 | |||
| City | FRANKFORT |
| Zip Code | 40601 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FRANKFORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Evan K Dicken.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.