Anthony Christopher Derrico, DO | |
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
(208) 625-5700 | |
(208) 625-5708 |
Full Name | Anthony Christopher Derrico |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538516471 | NPI | - | NPPES |
100254122 | Medicaid | WI |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Bay Area Medical Center | Marinette, WI | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
West Valley Medical Center | Caldwell, ID | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Carepoint Health Emergency Medicine Idaho Pllc | 6406283860 | 12 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Entity Name | Carepoint Health Emergency Medicine Idaho Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285275461 PECOS PAC ID: 6406283860 Enrollment ID: O20200224002457 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Anthony Christopher Derrico, DO 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5700 | Anthony Christopher Derrico, DO 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5700 |
Christina Crabtree, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5731 | |
Dr. Matthew Kunz, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Thomas Patrick Martin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-773-7731 Fax: 208-773-7721 | |
Dr. Cody Laverdiere, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Kathrine Giarra, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Cameron Crandall, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Dr. Dawn Rachelle Gertson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Hospital Specialists-kmc Kootenai Medical Ctr, Coeur D Alene, ID 83814 Phone: 208-666-3378 Fax: 208-666-4037 |