| Alicia Marie Derkatch, | |
|
340 Boatner Rd, Eglin Afb, FL 32542-1391 | |
| (406) 781-5219 | |
| Not Available |
| Full Name | Alicia Marie Derkatch |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 340 Boatner Rd, Eglin Afb, Florida |
| 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 |
|---|---|---|---|
| 1699318816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11015388 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 43-557722-102 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Anesthetist Services Llc | 8325298458 | 149 |
| Capital Anesthesia Solutions Of Florida Ii, Llc | 7911323720 | 327 |
| Entity Name | Ams Anesthetist Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770834426 PECOS PAC ID: 8325298458 Enrollment ID: O20121025000224 |
| Entity Name | Ams National LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | Capital Anesthesia Solutions of Florida II, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Marie Derkatch, 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: Not Available | Alicia Marie Derkatch, 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: (406) 781-5219 |
Maria Stanek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-9506 Fax: 850-883-1052 |
Julianne Marie Talbott, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8525 |
Dr. Nicole Michelle Delhomme, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9394 |
Jason Melvin, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 340 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8600 |
Mr. Sean Allen Strait, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8132 |
Mrs. Michelle Gauthier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-8132 |
Clinton Jeffery Hartman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-9394 |