Jetta Derasin, NP is an addiction medicine family medicine in Mesa, AZ with 14 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Jetta Derasin, NP NPI is 1720336910. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1705 W MAIN ST
MESA, AZ
ZIP 85201
Phone: (877) 809-5092
Fax: (480) 718-9477
The NPI 1720336910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
The enumeration date for this NPI number is 8/21/2012 and was last updated on 1/29/2019.