| Dr Amy Jane Derick, MD | |
|
1531 S Grove Ave, Suite 101, Barrington, IL 60010-5240 | |
| (847) 381-8899 | |
| (847) 381-8999 |
| Full Name | Dr Amy Jane Derick |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 1531 S Grove Ave, Barrington, Illinois |
| 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 |
|---|---|---|---|
| 1245279884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 36112935 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derick Dermatology Pllc | 1557366796 | 62 |
| Derick Dermatology Pllc | 1557366796 | 62 |
| Entity Name | Derick Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134664402 PECOS PAC ID: 1557366796 Enrollment ID: O20060922000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amy Jane Derick, MD 1531 S Grove Ave, Suite 101, Barrington, IL 60010-5240 Ph: (847) 381-8899 | Dr Amy Jane Derick, MD 1531 S Grove Ave, Suite 101, Barrington, IL 60010-5240 Ph: (847) 381-8899 |
Elisa S. Gallo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 738 W Northwest Hwy, Barrington, IL 60010 Phone: 847-382-5111 Fax: 847-382-8993 | |
Ms. Ashaki Patel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 738 W Northwest Hwy, Barrington, IL 60010 Phone: 847-382-5111 Fax: 847-382-8993 | |
David Paul Van Dam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 738 W Northwest Hwy, Barrington, IL 60010 Phone: 847-382-5111 Fax: 847-382-8993 |