Alicia Marie Derkatch, | |
340 Boatner Rd, Eglin Afb, FL 32542-1391 | |
(406) 781-5219 | |
Not Available |
Full Name | Alicia Marie Derkatch |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 340 Boatner Rd, Eglin Afb, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699318816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 11015388 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 43-557722-102 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Physician Solutions Of North Florida Llc | 5597066001 | 248 |
Ams Anesthetist Services Llc | 8325298458 | 135 |
Entity Name | Ams Anesthetist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770834426 PECOS PAC ID: 8325298458 Enrollment ID: O20121025000224 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Entity Name | Anesthesia Physician Solutions Of North Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033 |
Mailing Address | Practice Location Address |
---|---|
Alicia Marie Derkatch, 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: () - | Alicia Marie Derkatch, 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: (406) 781-5219 |
Maria Stanek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-9506 Fax: 850-883-1052 | |
Julianne Marie Talbott, APRN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8525 | |
Dr. Nicole Michelle Delhomme, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9394 | |
Jason Melvin, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8600 | |
Mr. Sean Allen Strait, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8132 | |
Mrs. Michelle Gauthier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8132 |