Jerold A Derkaz, MD, PA | |
1290 Circle Dr, Defuniak Springs, FL 32435-2505 | |
(850) 892-6600 | |
(850) 520-4660 |
Full Name | Jerold A Derkaz |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1290 Circle Dr, Defuniak Springs, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588772883 | NPI | - | NPPES |
76015 | Other | FL | BCBS PROVIDER # |
K3534 | Other | FL | MEDICARE PTAN |
262982800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0046412 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerold A Derkaz, MD, PA 1290 Circle Dr, Defuniak Springs, FL 32435-2505 Ph: (850) 892-6600 | Jerold A Derkaz, MD, PA 1290 Circle Dr, Defuniak Springs, FL 32435-2505 Ph: (850) 892-6600 |
Dr. Samia Saba Kozman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4500 Fax: 850-892-7079 | |
Dr. James W Howell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 W Main Ave, Defuniak Springs, FL 32435 Phone: 850-892-2888 Fax: 850-892-2405 | |
Kevin Martin Hornsby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4415 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-4556 Fax: 850-951-4527 | |
Dr. Robert King Persons, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 Phone: 850-892-8015 | |
Ms. Kerrian A Hazley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 362 State Highway 83, Defuniak Springs, FL 32433 Phone: 850-892-8015 Fax: 850-892-8457 | |
Dr. Fawzi Fawaz, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 962 Us Highway 331 S, Defuniak Springs, FL 32435 Phone: 850-951-8800 Fax: 850-951-0203 |