Jimmy C Dickert (NPI# 1073695755, PAC ID# 3577582170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073695755 |
| PAC ID by PECOS | 3577582170 |
| Professional Enrollment ID | I20051115000118 |
| Full Name | Jimmy C Dickert |
| Organization Legal Name | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| Address |
6199 W Gulf To Lake Hwy Crystal River FL 34429-2679 |
| Phone Number | 3527950644 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5597784199 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| 100249 | SEVEN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 | 3527950644 | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 | MEADOWCREST PHYSICIANS PARTNERS LLC |
| Organization Legal Name | MEADOWCREST FAMILY PHYSICIANS, P.A. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coty J Tino | Family Medicine | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Robbie Lee Bradley | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Ryan Spencer Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jeri L Anderson | Nurse Practitioner | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Alex Jonathan Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jennifer Yoho | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Kaitlyn Paige Dickert | Registered Dietitian Or Nutrition Professional | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Street Address |
6199 W GULF TO LAKE HWY |
| City | CRYSTAL RIVER |
| State | FL |
| Zip | 34429-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Spencer Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Jeri L Anderson | Nurse Practitioner | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Alex Jonathan Dickert | Family Medicine | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Kaitlyn Paige Dickert | Registered Dietitian Or Nutrition Professional | Meadowcrest Family Physicians, P.a. | 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Heubach | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Donna Jean Scarbrough | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Jered Jones | Nurse Practitioner | Quick Care Med, LLC | 659 Unit Us Hwy 19 1, Crystal River, FL 34429 |
| Coty J Tino | Family Medicine | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Robbie Lee Bradley | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Jennifer Yoho | Physician Assistant | Meadowcrest Family Physicians, P.a. | 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679 |
| Angela Acevedo | Internal Medicine | 6202 W Corporate Oaks Dr, Crystal River, FL 34429-2705 | |
| Alan M Freedman | Ophthalmology | Suncoast Eye Center Pa | 221 Ne Hwy 19, Crystal River, FL 34429-4232 |
| James R Jachimowicz | Ophthalmology | Suncoast Eye Center Pa | 221 Ne Hwy 19, Crystal River, FL 34429-4232 |
| George Kaplan | Optometry | Suncoast Eye Center Pa | 221 Ne Hwy 19, Crystal River, FL 34429-4232 |
| Find all physicians in zip 34429 | |||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CRYSTAL RIVER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jimmy C Dickert.
| 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.