Mr Derek Storck, FNP-BC | |
42348 Malbeck Dr, Sterling Heights, MI 48314-3043 | |
(618) 910-0465 | |
Not Available |
Full Name | Mr Derek Storck |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 42348 Malbeck Dr, Sterling Heights, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396282448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704322025 (Michigan) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 209016175 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Clay Home Health Services | Flora, IL | Home health agency |
Clay County Hospital | Flora, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Clay | 0042101982 | 27 |
Entity Name | County Of Clay |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek Storck, FNP-BC 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 910-0465 | Mr Derek Storck, FNP-BC 42348 Malbeck Dr, Sterling Heights, MI 48314-3043 Ph: (618) 910-0465 |
Daniel Raymond Braschayko, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37450 Dequindre Rd, Sterling Heights, MI 48310 Phone: 586-979-5100 | |
Krishna Patel, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2673 Avis Dr South, Sterling Heights, MI 48310 Phone: 586-275-4549 | |
Corinne Boak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35501 Mound Rd, Sterling Heights, MI 48310 Phone: 855-445-4554 | |
Ms. Mona Y Wissa, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8244 Metro Pkwy, Sterling Heights, MI 48312 Phone: 586-795-4060 Fax: 586-864-7567 | |
Mrs. Jean Wasilewski Terry, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43200 Dequindre Rd Ste 104, Sterling Heights, MI 48314 Phone: 586-799-4350 Fax: 586-799-4279 | |
Katerina Denkovska, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43303 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-739-8674 | |
Nina Blomberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44344 Dequindre Rd Ste 560, Sterling Heights, MI 48314 Phone: 586-731-6777 Fax: 248-731-0299 |