| Derek Dane, PA-C | |
|
2700 E 29th St Ste 260, Bryan, TX 77802-2587 | |
| (979) 774-0012 | |
| (979) 774-4636 |
| Full Name | Derek Dane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2700 E 29th St Ste 260, Bryan, Texas |
| 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 |
|---|---|---|---|
| 1578232310 | NPI | - | NPPES |
| 1578232310 | Medicaid | TX | |
| Q00486203 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15097 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Joseph Health Regional Hospital | Bryan, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Regional Health Center | 5294727921 | 141 |
| Entity Name | St Joseph Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
| Entity Name | Curana Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
| Entity Name | CH Specialty Services TX PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Dane, PA-C 1426 County Road 436, Dime Box, TX 77853-5248 Ph: (979) 716-7915 | Derek Dane, PA-C 2700 E 29th St Ste 260, Bryan, TX 77802-2587 Ph: (979) 774-0012 |
Jill Michelle Whitley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 604 E 27th St, Bryan, TX 77803 Phone: 979-314-1336 Fax: 502-385-6508 |
Mallory P Neill, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3201 University Dr E, Bryan, TX 77802 Phone: 979-207-7400 |
Ava Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8441 State Highway 47 Ste 1400, Bryan, TX 77807 Phone: 979-774-8200 Fax: 877-601-5854 |
Kathryn Gowers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3851 Corporate Center Dr Ste 117, Bryan, TX 77802 Phone: 979-393-0639 |
Mattie Beth Huber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-3777 |
Hannah Helm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2206 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-776-4600 |
Kaylie E Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-5967 Fax: 979-731-5916 |