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

Makayla Marie Dickovich, PA-C

Individual provider Medical Physician Assistant · NPI 1457042236

Makayla Marie Dickovich, PA-C is a Physician Assistant in Waconia, Minnesota. Qualified in 2023, 3 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

424 W State Highway 5
Waconia, MN 55387-1795
Phone: (952) 442-4461
Fax: (952) 442-1547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1457042236
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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