Elizabeth A Derickson (NPI# 1043528052, PAC ID# 6204075765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1043528052 |
| PAC ID by PECOS | 6204075765 |
| Professional Enrollment ID | I20130614000040 |
| Full Name | Elizabeth A Derickson |
| Organization Legal Name | ONE ACCORD COUNSELING LLC |
| Address |
902 E Jackson Blvd Jackson MO 63755-2434 |
| Phone Number | 5734508949 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9739328303 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 902 E Jackson Blvd, Jackson, MO 63755-2434 | 5734508949 | ONE ACCORD COUNSELING LLC |
| Organization Legal Name | ONE ACCORD COUNSELING LLC |
| Physicians | 1 |
| Street Address |
902 E JACKSON BLVD |
| City | JACKSON |
| State | MO |
| Zip | 63755-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene F Mcdonald | Optometry | 430 W Independence, Jackson, MO 63755-1203 | |
| Tia M Rademaker | Nurse Practitioner | Southeast Missouri Hospital Physicians LLC | 2432 E Main St B, Southeast Convenient Care, Jackson, MO 63755-1711 |
| Deanna M Siemer | Family Medicine | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| Janae J Eskew | Nurse Practitioner | Jackson Primary Care LLC | 2685 E Main St A, Jackson, MO 63755-2474 |
| James J Lee | Chiropractic | 2625 E Jackson Blvd, Jackson, MO 63755-2916 | |
| Wayne A Sarno | Podiatry | 1166 Greenway Dr, Suite B2, Jackson, MO 63755-2921 | |
| Troy L Bell | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Morgan A Strand | Optometry | Troy L Bell Od and Assoc PC. | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Panagiotis Paulus | Ophthalmology | Eye Surgery Consultants LLP | 2954 E Jackson Blvd, Jackson, MO 63755-2949 |
| Aaron T Andrews | Chiropractic | 3130 E Jackson Blvd, Jackson, MO 63755-2957 | |
| Find all physicians in zip 63755 | |||
| City | JACKSON |
| Zip Code | 63755 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | JACKSON + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.