| Susan A Derry, MD | |
|
413 Lilly Rd Ne, Msddh09, Olympia, WA 98506-5133 | |
| (360) 918-0119 | |
| Not Available |
| Full Name | Susan A Derry |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 413 Lilly Rd Ne, Olympia, Washington |
| 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 |
|---|---|---|---|
| 1023109030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 8161176 (Idaho) | Secondary |
| 207P00000X | Emergency Medicine | MD60547005 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Ocean Beach Hospital | Ilwaco, WA | Hospital |
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Chi Health Midlands | Papillion, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Shoshone Medical Center | 6103739107 | 25 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Derry, MD Po Box 5007, Lacey, WA 98509-5007 Ph: (360) 918-0119 | Susan A Derry, MD 413 Lilly Rd Ne, Msddh09, Olympia, WA 98506-5133 Ph: (360) 918-0119 |
Dr. Jeffrey Howard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Dr. Penelope Anne Goode, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia Emergency Services, Olympia, WA 98506 Phone: 360-493-4554 | |
Dr. Lien Hong Ly, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 | |
Dr. Bruce Lincoln, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Daniel Gilday, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-493-4400 | |
Dr. Joshua James Sahara, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7318 Grayhawk Ln Ne, Olympia, WA 98516 Phone: 914-217-4372 |