Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558349050 Individual Practitioner Female Practitioner

Amy Dereczyk , PA-C

Physician Assistant • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Amy Dereczyk, PA-C is a registered healthcare professional specializing in Physician Assistant in Detroit, MI. Practice services are available at 4001 W MCNICHOLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4001 W Mcnichols Rd

Detroit, MI 482213038

Telephone 3139931797
Fax 3139931271
Associated Practice Facility / Clinic
🏢 University Of Detroit Mercy Facility NPI 1427833383

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
370 Specialists

Practicing in Detroit, MI (7057 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601003980

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
11712511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jyothi Digambaranath , PA-C

Physician Assistant - Medical

NPI 1326701327

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2011

Registered at 4001 W MCNICHOLS RD, DETROIT, MI 482213038 (Tel: 3139931797)

📍
Updated Business Mailing Address May 10, 2011

Registered at 4001 W MCNICHOLS RD, DETROIT, MI 482213038 (Tel: 3139931797)

👤
Provider Name / Credentials Updated May 10, 2011

Recorded as AMY DERECZYK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Physician Assistant (License #5601003980 in MI)

🟢
Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558349050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: May 10, 2011
Sole Proprietor: No

Mailing Address

4001 W Mcnichols Rd

Detroit, MI 482213038

Phone: 3139931797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.