| Mr Derek John Tatum, | |
|
11020 Hull Street Rd, Midlothian, VA 23112-3200 | |
| (804) 744-6310 | |
| Not Available |
| Full Name | Mr Derek John Tatum |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 11020 Hull Street Rd, Midlothian, Virginia |
| 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 |
|---|---|---|---|
| 1013488246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110006682 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthovirginia Inc | 0547157224 | 570 |
| Derm Associates Llc | 4688653306 | 44 |
| Entity Name | Patient First Richmond Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20031103000500 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Orthovirginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679 |
| Entity Name | Anne Arundel Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063481703 PECOS PAC ID: 6608761960 Enrollment ID: O20180525000348 |
| Entity Name | Alexandria Springfield Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek John Tatum, 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Mr Derek John Tatum, 11020 Hull Street Rd, Midlothian, VA 23112-3200 Ph: (804) 744-6310 |
Sonia Corinne Rogozinski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Browns Hill Ct, Midlothian, VA 23114 Phone: 888-849-7379 |
Ryan T Donahue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-270-1305 Fax: 804-273-9294 |
Kathleen Marie Winkert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3742 Winterfield Rd, Midlothian, VA 23113 Phone: 804-330-3335 Fax: 804-320-2717 |
Joelle Marie Kidder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11020 Hull Street Rd, Midlothian, VA 23112 Phone: 804-744-6310 |
Annie Lai, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14163 Midlothian Tpke, Midlothian, VA 23113 Phone: 804-893-8702 |
Lupe Barbara Pacheco, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14163 Midlothian Tpke, Midlothian, VA 23113 Phone: 804-893-8702 |
Zachary Krpejs, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 15300 E West Rd, Midlothian, VA 23114 Phone: 804-379-2414 Fax: 804-379-2413 |