Charles Lick, MD - Medicare Emergency Medicine in Buffalo, MN

Charles Lick, MD is a medicare enrolled "Emergency Medicine" physician in Buffalo, Minnesota. His current practice location is 303 Catlin St, Buffalo Hospital, Buffalo, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 684-7500.

Charles Lick is licensed to practice in Minnesota (license number 31933) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366419525.

Contact Information

Charles Lick, MD
303 Catlin St, Buffalo Hospital,
Buffalo, MN 55313
(763) 684-7500
(763) 684-7152



Physician's Profile

Full NameCharles Lick
GenderMale
SpecialityEmergency Medicine
Location303 Catlin St, Buffalo, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366419525
  • Provider Enumeration Date: 03/07/2006
  • Last Update Date: 03/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9931164159
  • Enrollment ID: I20050520000982

Medical Identifiers

Medical identifiers for Charles Lick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366419525NPI-NPPES
31933OtherMNMEDICAL LICENSE
832590100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 31933 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Lick allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871934
PECOS PAC ID: 9537072657
Enrollment ID: O20031106000068

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Lick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Lick, MD
5435 Feltl Rd,
Minnetonka, MN 55343-7983

Ph: (952) 835-9880
Charles Lick, MD
303 Catlin St, Buffalo Hospital,
Buffalo, MN 55313

Ph: (763) 684-7500

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› Verified 8 days ago


Emergency Medicine Doctors in Buffalo, MN

Dustin Michael Timmons, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313
Phone: 763-684-7500    Fax: 763-684-7152
Lynn Simon, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 303 Catlin Street, Buffalo Hospital, Buffalo, MN 55313
Phone: 763-684-7500    Fax: 763-684-7152
Nicholas Joseph Abram, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Catlin St, Buffalo, MN 55313
Phone: 763-682-1212    
Dr. William M Goodall, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313
Phone: 763-684-7500    Fax: 763-684-7152
John Frank Robinson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313
Phone: 763-684-7500    Fax: 763-684-7152
Christine Ingrid Delmonico, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Catlin St, Emergency Department, Buffalo, MN 55313
Phone: 763-684-7500    

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