Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jim C Dickert, DO

Individual provider Family Medicine Physician · NPI 1073695755

Jim C Dickert, DO is a Family Practice in Crystal River, Florida. Qualified in 1985, 41 years ago. Practices with Meadowcrest Family Physicians PA, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
41
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6199 W Gulf To Lake Hwy
Crystal River, FL 34429-2679
Phone: (352) 795-0644
Fax: (352) 795-5950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS0005062 (FL)

Record details

NPI number1073695755
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 31, 2011
Mailing address6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Meadowcrest Family Physicians Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Crystal River