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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Mr. Derek R Wynn

PA

Physician Assistant - Medical

NPI: 1043689441Grangeville, Idaho, 83530(208) 983-1700Male

About Mr. Derek R Wynn

Mr. Derek R Wynn, PA, is a male healthcare professional specializing in Physician Assistant - Medical with a focus on Medical, registered under National Provider Identifier (NPI) number 1043689441. Mr.

Derek R Wynn received his medical education at OTHER, graduating in 2015. Their primary practice is located at 607 W MAIN STREET, Grangeville, Idaho 83530. Patients can reach the office at (208) 983-1700.

In addition to the primary location, Mr. Derek R Wynn maintains 3 additional practice locations. Mr. Derek R Wynn is affiliated with 1 hospital in the area. Mr. Derek R Wynn is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

As a prescriber, Mr. Derek R Wynn has 221 prescription claims processed, totaling $3,777 in drug costs. Mr. Derek R Wynn has been NPI-registered since 2015.

Key Metrics

Rx Claims

221

$3,777.14

Practice Locations

4

Affiliated Hospitals

1

Doctor Details

Identity & Credentials

NPI Number
1043689441
Entity Type
Individual
First Name
Derek
Last Name
Wynn
Credential
PA
Gender
Male
Medical School
OTHER
Graduation Year
2015
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
607 W MAIN STREET
City
Grangeville
State
Idaho
ZIP
83530
Country
United States
Phone
(208) 983-1700
Fax
(208) 983-4665

Specialty & Taxonomy

Primary Specialty
Physician Assistant - Medical
Classification
Physician Assistant
Specialization
Medical
Taxonomy Code
363AM0700X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
607 W MAIN ST
City
GRANGEVILLE
State
ID
ZIP
835301345

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
221
Total Rx Cost
$3,777.14

Frequently Asked Questions

What is Mr. Derek R Wynn's NPI number?
Mr. Derek R Wynn's National Provider Identifier (NPI) is 1043689441. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Derek R Wynn specialize in?
Mr. Derek R Wynn specializes in Physician Assistant - Medical. They received their medical education at OTHER (class of 2015).
Where is Mr. Derek R Wynn located?
Mr. Derek R Wynn practices at 607 W MAIN STREET, Grangeville, Idaho 83530. You can reach them by phone at (208) 983-1700. They also have 3 additional practice locations.
Does Mr. Derek R Wynn accept Medicare?
Yes, Mr. Derek R Wynn is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Derek R Wynn offer telehealth or virtual visits?
Mr. Derek R Wynn does not currently offer telehealth services. In-person visits are required at their practice location.
Can Mr. Derek R Wynn prescribe medications?
Yes, Mr. Derek R Wynn is an authorized prescriber. They have processed 221 prescription claims totaling $3,777.14.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Derek R Wynn is 1043689441.