Mr. Derek R Wynn, PA
Mr. Derek R Wynn, PA is a Physician Assistant in Grangeville, Idaho. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 11
- Licensed in
- ID
- In the registry since
- 2015
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
607 W Main StGrangeville, ID 83530
Phone: (208) 983-1700
Fax: (208) 983-4665
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-1276 (ID) |
|---|
Record details
| NPI number | 1043689441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2015 |
| Last updated in NPPES | September 16, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Grangeville
-
Matthew Wade Black, PA
607 W Main St, Grangeville, ID 83530-1345 · (208) 983-1700
-
Bradi Morel Voigt Trapp, PA-C
607 W Main St, Grangeville, ID 83530-1345 · (208) 983-8590