| Derick Duckworth, | |
|
3327 N Casaloma Dr Unit 197, Appleton, WI 54913-7963 | |
| (360) 620-2644 | |
| Not Available |
| Full Name | Derick Duckworth |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 3327 N Casaloma Dr Unit 197, Appleton, Wisconsin |
| 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 |
|---|---|---|---|
| 1972385300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 261171 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Anesthesiology Group Pc | 3476451659 | 239 |
| Oregon Anesthesiology Group Pc | 3476451659 | 239 |
| Entity Name | Oregon Anesthesiology Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Derick Duckworth, 3327 N Casaloma Dr Unit 197, Appleton, WI 54913-7963 Ph: (360) 620-2644 | Derick Duckworth, 3327 N Casaloma Dr Unit 197, Appleton, WI 54913-7963 Ph: (360) 620-2644 |
Vicki Lynn Aho, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5471 W Waterford Ln, Appleton, WI 54913 Phone: 920-731-7445 Fax: 920-731-7490 |
Mrs. Kay Ellen Marsicek, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7939 |
Julie R Delrow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd Ste B, Appleton, WI 54911 Phone: 920-733-4443 |
Vicki Fors, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 131 E Washington St # 1a, Appleton, WI 54911 Phone: 920-852-5300 |
Ms. Frances Marie Taylor-treder, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Cancer Services, Appleton, WI 54911 Phone: 920-831-5169 Fax: 920-380-1549 |
Heather Strobl, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Richmond St, Unit 322, Appleton, WI 54911 Phone: 715-360-6836 |
Pamelena D Grier, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2800 E Enterprise Ave Ste 333, Appleton, WI 54913 Phone: 414-240-9400 |