| Derek Wiggins, PA-C | |
|
713 Winfield Dunn Pkwy Ste 9, Sevierville, TN 37876-5533 | |
| (865) 429-9110 | |
| Not Available |
| Full Name | Derek Wiggins |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 713 Winfield Dunn Pkwy Ste 9, Sevierville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538789383 | NPI | - | NPPES |
| 4837 | Other | TN | STATE LICENCE |
| 5601009759 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4837 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | 5601009759 (Michigan) | Secondary |
| Entity Name | Total Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265564900 PECOS PAC ID: 3870481740 Enrollment ID: O20050428000415 |
| Entity Name | Ribhi Hazin MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457727307 PECOS PAC ID: 2062729833 Enrollment ID: O20150911001346 |
| Entity Name | Huron Emergency Medicine Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528686540 PECOS PAC ID: 9032538830 Enrollment ID: O20200929000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Wiggins, PA-C 284 Almont Ave, Almont, MI 48003-8601 Ph: (810) 417-1056 | Derek Wiggins, PA-C 713 Winfield Dunn Pkwy Ste 9, Sevierville, TN 37876-5533 Ph: (865) 429-9110 |
Jamie Mendez Leonard, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 Middle Creek Rd Ste 260, Sevierville, TN 37862 Phone: 865-428-7586 |
Erin Megan Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1787 Veterans Blvd Ste 101, Sevierville, TN 37862 Phone: 865-428-2773 |
Mrs. Jill Suzanne Wall, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 742 Middlecreek Rd, Sevierville, TN 37862 Phone: 865-446-8835 |
Mrs. Lindsey Layman Lassiter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1229 Fox Meadows Blvd Ste 2, Sevierville, TN 37862 Phone: 865-635-9487 |
Mrs. Rachel Diane Kohn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1108 Fox Meadows Blvd, Sevierville, TN 37862 Phone: 865-366-1581 |
Samantha Adler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 742 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-446-7000 |
Ina J Matthews, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 641 Middle Creek Rd, Sevierville, TN 37862 Phone: 865-428-0583 |