Richard L Dickson (NPI# 1760455075, PAC ID# 9830081678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1760455075 |
| PAC ID by PECOS | 9830081678 |
| Professional Enrollment ID | I20040527000981 |
| Full Name | Richard L Dickson |
| Organization Legal Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Address |
530 Bogachiel Way Forks WA 98331-9120 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 1557256468 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501325 | FORKS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 530 Bogachiel Way, Forks, WA 98331-9120 | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Organization Legal Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonas Merrill | Physician Assistant | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Teresa Neprud | Nurse Practitioner | Clallam County Public Hospital District No 1 | 461 G St, Forks, WA 98331-9025 |
| Joel F Yelland | Family Medicine | Clallam County Public Hospital District No 1 | 74 Bogachiel St, Clallam Bay, WA 98326-9740 |
| Tristan M Mcgovern | Orthopedic Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Jubilee P Mattix | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| John C Miller | Clinical Social Worker | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Kirk A Cole | Diagnostic Radiology | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Harry E Lyndes Iii | Family Medicine | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Mark J Sanders | Internal Medicine | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Joseph W Reis | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Street Address |
530 BOGACHIEL WAY |
| City | FORKS |
| State | WA |
| Zip | 98331-9120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonas Merrill | Physician Assistant | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Jubilee P Mattix | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| John C Miller | Clinical Social Worker | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Kirk A Cole | Diagnostic Radiology | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Mark J Sanders | Internal Medicine | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Joseph W Reis | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Marina E Rasnow-hill | Family Medicine | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Stephanie M Bechtold | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Faron J Bauer | Family Medicine | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janina H Dinio | Clinical Social Worker | 32 Silver Pine Dr Ne, Suite 300 B, Bremerton, WA 98331 | |
| Teresa Neprud | Nurse Practitioner | Clallam County Public Hospital District No 1 | 461 G St, Forks, WA 98331-9025 |
| Tristan M Mcgovern | Orthopedic Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Harry E Lyndes Iii | Family Medicine | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Emery Jin-toh Chang | General Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Rebecca D Pfaff | Family Medicine | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| William H Coyne | Hospitalist | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| James F Flowers | General Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Theodore R Matheny | Family Practice | Clallam County Public Hospital District No 1 | 590 Bogachiel Way, Forks, WA 98331-9120 |
| John M Shima | Internal Medicine | 460 W E St, Forks, WA 98331-9121 | |
| Find all physicians in zip 98331 | |||
| City | FORKS |
| Zip Code | 98331 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | FORKS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Richard L Dickson.
| 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.