| Derek J Maratea, PA-C | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 756-1521 | |
| Not Available |
| Full Name | Derek J Maratea |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699919118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-004151 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-005525 (Illinois) | Primary |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek J Maratea, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 | Derek J Maratea, PA-C 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 756-1521 |