Domenic Derobertis, CAA | |
1150 Varnum St Ne, Washington, DC 20017-2104 | |
(202) 854-7000 | |
Not Available |
Full Name | Domenic Derobertis |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 7 Years |
Location | 1150 Varnum St Ne, Washington, District Of Columbia |
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 |
---|---|---|---|
1023545530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwood Anesthesia Associates Llc | 8022920255 | 67 |
Entity Name | Northwood Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191 |
Mailing Address | Practice Location Address |
---|---|
Domenic Derobertis, CAA 13661 Samhill Ln, Mount Airy, MD 21771-4578 Ph: () - | Domenic Derobertis, CAA 1150 Varnum St Ne, Washington, DC 20017-2104 Ph: (202) 854-7000 |
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