| Mr Derek Landes, PA-C | |
|
750 Mount Carmel Mall, Suite 300, Columbus, OH 43222-1553 | |
| (614) 224-6420 | |
| Not Available |
| Full Name | Mr Derek Landes |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 750 Mount Carmel Mall, Columbus, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154721447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.004164 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| P.r. Care, Ltd | 8224089586 | 8 |
| Entity Name | Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952413031 PECOS PAC ID: 5698687838 Enrollment ID: O20031105000213 |
| Entity Name | Mid-ohio Emergency Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386691780 PECOS PAC ID: 8921907601 Enrollment ID: O20031231000569 |
| Entity Name | P.R. Care, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518945948 PECOS PAC ID: 8224089586 Enrollment ID: O20050203000330 |
| Entity Name | Adena Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Landes, PA-C 53 Hanby Ave, Westerville, OH 43081-1210 Ph: (614) 296-9167 | Mr Derek Landes, PA-C 750 Mount Carmel Mall, Suite 300, Columbus, OH 43222-1553 Ph: (614) 224-6420 |
Katherine Kyle Weals, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 460 W 10th Ave Fl 5, Columbus, OH 43210 Phone: 614-293-8074 Fax: 614-293-3193 |
Rebecca Rose Tokarski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 895 W 3rd Ave, Columbus, OH 43212 Phone: 614-437-0278 |
Cindy Xiaotong Liu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000 |
Zachary Steven Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214 Phone: 614-255-6900 Fax: 614-255-6901 |
Alicia Renee Simpson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3525 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-1997 |
Payton Joy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5000 |
Catherine Lee Pelfrey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5000 |