| Ms Kathryn Jenny Derrick, PA-C | |
|
991 E Del Webb Blvd, Sun City Center, FL 33573-6669 | |
| (813) 978-9700 | |
| Not Available |
| Full Name | Ms Kathryn Jenny Derrick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 991 E Del Webb Blvd, Sun City Center, 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 |
|---|---|---|---|
| 1215412309 | NPI | - | NPPES |
| 101229400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 9111539 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9111539 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Bay Hospital | Sun city center, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Orthopaedic Institute | 1052224102 | 308 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathryn Jenny Derrick, PA-C 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 Ph: (813) 978-9700 | Ms Kathryn Jenny Derrick, PA-C 991 E Del Webb Blvd, Sun City Center, FL 33573-6669 Ph: (813) 978-9700 |
Mr. Mitchell Costin Mcdowell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4016 State Road 674, Sun City Center, FL 33573 Phone: 813-634-3301 | |
Jennifer Lynn Horkan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 | |
Mr. Mark R Winer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-634-2733 Fax: 813-634-8606 | |
Mr. John J Mahany Jr., PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 Fax: 813-642-0367 | |
Eduardo Manuel Vazquez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 | |
Leslee E Baute, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4002 Sun City Center Blvd, Unit 102, Sun City Center, FL 33573 Phone: 813-634-1455 Fax: 813-642-8355 |