Dr Otto Frederick Dickman Iv, MD in Castle Dale, UT - Family Medicine

Dr Otto Frederick Dickman Iv, MD is a Family Medicine physician based in Castle Dale, Utah. Dr Otto Frederick Dickman Iv is licensed to practice in Utah (license number 495-6304-1205) and his current practice location is 90 West Main, Emery Medical Center, Castle Dale, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 381-2305.

NPI number for Dr Otto Frederick Dickman Iv is 1619065943 and his current mailing address is Po Box 607, Emery Medical Center, Castle Dale, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619065943.

Contact Information

	Dr Otto Frederick Dickman Iv, MD
	90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607
	(435) 381-2305
	(435) 381-4535

Physician's Profile

Full Name	Dr Otto Frederick Dickman Iv
Gender	Male
Speciality	Family Medicine
Location	90 West Main, Castle Dale, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1619065943
Provider Enumeration Date: 10/11/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Otto Frederick Dickman Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619065943	NPI	-	NPPES
621762357076	Medicaid	UT
621762357080	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	495-6304-1205 (Utah)	Primary

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. Dr Otto Frederick Dickman Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Otto Frederick Dickman Iv, MD Po Box 607, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305	Dr Otto Frederick Dickman Iv, MD 90 West Main, Emery Medical Center, Castle Dale, UT 84513-0607 Ph: (435) 381-2305

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Dr Otto Frederick Dickman Iv, MD - Family Medicine in Castle Dale, UT