Debra L Dean, PA
Individual provider Active NPI Surgical Physician Assistant · Fort Myers, FL
NPI 1275868374 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1275868374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA9105211 (FL)
- Practice address
- 14601 Hope Center Loop
Fort Myers, FL 33912-4707 - Phone
- (239) 334-7000
- Fax
- (239) 334-7070
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Specialists of SW Florida, P.a.
Practice addresses (Care Compare)
14601 Hope Ctr Loop
Fort Myers, FL 33912-4707
Phone (239) 334-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.2 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100123000051 | FL | Practitioner - Physician Assistant | 6305988718 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105211 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of SW Florida, P.a. | Past |
Accepting new patients |
Interoperability endpoints
- ddean@osswf.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105211 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9105211 | FL | Yes |
Addresses
Primary practice location
14601 Hope Center Loop
Fort Myers, FL 33912-4707
Mailing address
14601 Hope Center Loop
Fort Myers, FL 33912-4707
Phone (239) 334-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001510800 | Medicaid | FL |
Other providers in Fort Myers, FL
- Justin De'Prey
- Abbey Dean
- Andrea Dean
- Ashayla Dean
- Aubrey Dean
- Eric Allen Dean
- Jack Dean II
- Lindajo Dean
- Wendy Dean
- Jessica Deangelis
All providers in Fort Myers, FL · Surgical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.