| Dr Derek Mikael Sorensen, MD | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-0770 | |
| Not Available |
| Full Name | Dr Derek Mikael Sorensen |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 19 Years |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| 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 |
|---|---|---|---|
| 1447416896 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Phs Emergency Billing Llc | 7810426947 | 56 |
| Entity Name | Emergency Medicine Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252 |
| Entity Name | Miami Valley Emergency Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
| Entity Name | South Dayton Acute Care Consultants, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669442950 PECOS PAC ID: 3577452465 Enrollment ID: O20040310001218 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Phs Emergency Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578387486 PECOS PAC ID: 7810426947 Enrollment ID: O20250117002759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Mikael Sorensen, MD 88 Mdg, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433-5529 Ph: (937) 257-0770 | Dr Derek Mikael Sorensen, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-0770 |
Dr. Eric Michael Mozeleski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 | |
Nora Gerson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-3203 | |
James Michael Manley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, 88 Mdg/sgoe, Wright Patterson Afb, OH 45433 Phone: 720-323-5725 | |
Jeffrey Nathan Harris, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9612 | |
Dr. Roy Lee Johnson Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 | |
Dr. Glenn David Burns, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 88 Mdg, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-8838 | |
Dr. Owen Scott, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |