Mr Derek John Tatum, | |
11020 Hull Street Rd, Midlothian, VA 23112-3200 | |
(804) 744-6310 | |
Not Available |
Full Name | Mr Derek John Tatum |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 5 Years |
Location | 11020 Hull Street Rd, Midlothian, Virginia |
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 |
---|---|---|---|
1013488246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 0110006682 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthovirginia Inc | 0547157224 | 491 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek John Tatum, 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Mr Derek John Tatum, 11020 Hull Street Rd, Midlothian, VA 23112-3200 Ph: (804) 744-6310 |
Ryan T Donahue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-270-1305 Fax: 804-273-9294 | |
Kathleen Marie Winkert, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3742 Winterfield Rd, Midlothian, VA 23113 Phone: 804-330-3335 Fax: 804-320-2717 | |
Joelle Marie Kidder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11020 Hull Street Rd, Midlothian, VA 23112 Phone: 804-744-6310 | |
Don Robert Milliron, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11020 Hull Street Rd, Midlothian, VA 23112 Phone: 804-744-6310 | |
Mrs. Courtney Stewart Dietz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Medexpress Urgent Care 11603 Midlothian Turnpike, Midlothian, VA 23113 Phone: 804-378-3739 Fax: 804-594-1926 | |
Joshua Harris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Watercove Rd, Midlothian, VA 23112 Phone: 804-744-0200 Fax: 804-744-8417 |