| Tia Derflinger, PA-C | |
|
3803 Spring Street, Racine, WI 53405 | |
| (262) 687-8322 | |
| Not Available |
| Full Name | Tia Derflinger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 3803 Spring Street, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548659303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 3481-23 (Wisconsin) | Primary |
| Entity Name | The Medical College of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Tia Derflinger, PA-C 3803 Spring Street, Racine, WI 53405 Ph: Not Available | Tia Derflinger, PA-C 3803 Spring Street, Racine, WI 53405 Ph: (262) 687-8322 |
Jennifer Scidmore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 |
Matthew T Czerniak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4479 |
Mr. Ryan Beine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4201 |
Leigh Pitts, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 201, Racine, WI 53405 Phone: 262-687-5800 |
Kylie S Nordness, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 Fax: 26-- |
Mary A Wheeler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 Fax: 262-687-2495 |
Katelyn Curtis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3803 Spring St, Racine, WI 53405 Phone: 262-687-4011 |