| Brenley Deters, PA-C | |
|
1060 Meyer Rd, Wentzville, MO 63385-3800 | |
| (314) 230-1500 | |
| Not Available |
| Full Name | Brenley Deters |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1060 Meyer Rd, Wentzville, 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 |
|---|---|---|---|
| 1184323586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2023010764 (Missouri) | Primary |
| 207N00000X | Dermatology | 2023010764 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yoon Dermatology, Llc | 5799101465 | 8 |
| Entity Name | Yoon Dermatology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811510886 PECOS PAC ID: 5799101465 Enrollment ID: O20200812003384 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: Not Available | Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500 |
Jacqueline Sova Castagno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1060 Meyer Rd, Wentzville, MO 63385 Phone: 314-230-1500 Fax: 314-230-1122 |
Samuel R Nathan, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste 400, Wentzville, MO 63385 Phone: 636-332-8455 |
Ms. Dawn M Calabrese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-332-8455 |
Mrs. Coralia Ilinca Leyderman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8455 |
Mr. Joseph Edward Scott, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 992 Wentzville Pkwy, Wentzville, MO 63385 Phone: 314-866-8650 Fax: 314-991-2006 |
Hannah Cottrell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste 400, Wentzville, MO 63385 Phone: 636-332-8455 |
Matthew Sotheran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385 Phone: 636-332-8477 |