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

Tracy Dickerson, PA

Individual provider Physician Assistant · NPI 1356570634

Tracy Dickerson, PA is a Physician Assistant in Dorchester Center, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2100 Dorchester Ave Dept OF Surgery
Dorchester Center, MA 02124-5615
Phone: (617) 296-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 215 (MA)

Record details

NPI number1356570634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESApril 13, 2010
Mailing address2100 Dorcester Ave, Dept. Of Surgery, Dorcester, MA 02124

Other providers in Dorchester Center