Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Marc E Dicklin, PA-C

Individual provider Physician Assistant · NPI 1205837408

Mr. Marc E Dicklin, PA-C is a Physician Assistant in Avon, Colorado. Qualified in 1999, 27 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Colorado and Iowa.

Years since qualifying
27
Licensed in
CO, IA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone: (970) 926-6340
Fax: (970) 926-6348
Show map & directions

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

Additional practice locations (5)

  • 50 Buck Creek Rd Ste 200, Avon, CO 81620-5428 — (970) 926-6340
  • 365 Dillon Ridge Rd Ste 1200, Dillon, CO 80435-6344 — (970) 926-6340
  • 377 Sylvan Lake Rd Ste 120, Eagle, CO 81631-6779 — (970) 926-6340
  • 180 S Frontage Rd W Ste 5800, Vail, CO 81657-5038 — (970) 926-6340
  • 1000 Langworthy St, Dubuque, IA 52001-7313 — (563) 584-3455

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0001152 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 001351 (IA)

Record details

NPI number1205837408
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESOctober 19, 2026
Certification dateOctober 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Summit Memorial Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Avon