Derek Eddie, PA-C
Derek Eddie, PA-C is a Physician Assistant in Pocatello, Idaho. Qualified in 2006, 20 years ago. Practices with Cc Pocatello LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 20
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
560 Memorial DrPocatello, ID 83201-4073 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 234-1960
Fax: (208) 233-5033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA-662 (ID) |
|---|
Record details
| NPI number | 1346375367 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Cc Pocatello Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 693 |
| Average patient age | 73 |
Payments from drug and device companies, 2025
| Food and Beverage | $262 |
|---|
Practises at
- Mountain View Hospital Hospital · Idaho Falls, ID · listed as Mountain View Hospital LLC
- Portneuf Medical Center Hospital · Pocatello, ID
- Enhabit Home Health Of Eastern Idaho Home health agency · Idaho Falls, ID
Colleagues at Cc Pocatello LLC
- Jenny May Ball, FNP Family Nurse Practitioner · Pocatello, ID
- Christopher Leif Edwards Family Nurse Practitioner · Idaho Falls, ID
- Miss. Heather Lin Halversen Physician Assistant · Pocatello, ID
- Amber Rae Hays Physician Assistant · Pocatello, ID
- Ariel Shantay Avis Taysom, PA-C Physician Assistant · Malad City, ID
Other providers in Pocatello
-
Roger David Cushman, PA
2302 E Terry St, Pocatello, ID 83201 · (208) 235-5910
-
Karen Dickerson, PA-C
1352 E Center St, Pocatello, ID 83201-4734 · (208) 234-2001
-
Annie Marie Dixon, PA
2240 E Center St, Pocatello, ID 83201 · (208) 233-8344
-
Mr. Michael John Doyle, PA-CPHYSASST
921 S 8th Ave Stop 8311, Pocatello, ID 83209-0002 · (208) 282-2330
-
Kayce N Gardner, PA-C
777 Hospital Way Ste 201, Pocatello, ID 83201-5175 · (208) 239-2620
-
Cory Gunn, PA
1515 E Clark St, Pocatello, ID 83201-4133 · (208) 233-2273
-
Hunter Nicole Marie Haralson
921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 · (208) 282-4726
-
Angela G Hatch, PA-C
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1801