Mr Derek R Wynn, PA in Grangeville, ID - Medicare Physician Assistant

Mr Derek R Wynn, PA is a medicare enrolled "Physician Assistant - Medical" in Grangeville, Idaho. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 607 W Main Street, Grangeville, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 983-1700.

Mr Derek R Wynn is licensed to practice in Idaho (license number PA-1276) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043689441.

Contact Information

	Mr Derek R Wynn, PA
	607 W Main Street, Grangeville, ID 83530
	(208) 983-1700
	(208) 983-4665

Map and Direction

Provider's Profile

Full Name	Mr Derek R Wynn
Gender	Male
Speciality	Physician Assistant
Experience	9 Years
Location	607 W Main Street, Grangeville, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Derek R Wynn graduated from nursing school in 2015

NPI Data:

NPI Number: 1043689441
Provider Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8022326503
Enrollment ID: I20191218002588

Medical Identifiers

Medical identifiers for Mr Derek R Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043689441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA-1276 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Derek R Wynn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Derek R Wynn, PA 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-1700	Mr Derek R Wynn, PA 607 W Main Street, Grangeville, ID 83530 Ph: (208) 983-1700

Reviews and Comments

Physician Assistant Nurses in Grangeville, ID

Kathleen Francis Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700
Mr. Nathan T Winder, MHS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590
Paul Edward Macmillan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590
Matthew Wade Black, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 Fax: 208-983-4665

Mr Derek R Wynn, PA - Medicare Physician Assistant in Grangeville, ID