Mikayla Marie Van Dervoort, PA-C
Mikayla Marie Van Dervoort, PA-C is a Physician Assistant in Saugus, Massachusetts. Qualified in 2024, 2 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
180 Main StSaugus, MA 01906-3213
Phone: (339) 674-0978
Fax: (339) 574-0914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1649014614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | September 16, 2024 |
| Certification date | September 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Convenientmd - Ffs Uc Llc — 395 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
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