| Dr Deana Lyn Kadyk, MD | |
|
9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 | |
| (636) 561-4613 | |
| (636) 561-4610 |
| Full Name | Dr Deana Lyn Kadyk |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 9209 Phoenix Village Pkwy, O Fallon, Missouri |
| 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 |
|---|---|---|---|
| 1326140492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2007012450 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 641 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891179040 PECOS PAC ID: 3779471701 Enrollment ID: O20150922001275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deana Lyn Kadyk, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Deana Lyn Kadyk, MD 9209 Phoenix Village Pkwy, O Fallon, MO 63368-4280 Ph: (636) 561-4613 |
Dr. Saadia Taufiq Raza, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6704 Keaton Corp Pkwy, O Fallon, MO 63368 Phone: 636-300-9596 Fax: 636-300-9598 | |
Robyn Michelle Fanderclai, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610 | |
Dr. Angela J Spray, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7136 S Outer Road 364, O Fallon, MO 63368 Phone: 636-561-3277 Fax: 636-561-5280 |