Derek Marrongelle, DACM, LAC, CCN - Acupuncturist in Phoenix, AZ

Derek Marrongelle, DACM, LAC, CCN is a Acupuncturist based in Phoenix, Arizona. Derek Marrongelle is licensed to practice in Arizona (license number LAC-010133) and his current practice location is 16421 N Tatum Blvd Ste 210, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (570) 617-9005.

NPI number for Derek Marrongelle is 1417581539 and his current mailing address is 113 Pine Creek Dr, Orwigsburg, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417581539.

Contact Information

Derek Marrongelle, DACM, LAC, CCN
16421 N Tatum Blvd Ste 210,
Phoenix, AZ 85032-3457
(570) 617-9005
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDerek Marrongelle
GenderMale
SpecialityAcupuncturist
Location16421 N Tatum Blvd Ste 210, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417581539
  • Provider Enumeration Date: 02/27/2020
  • Last Update Date: 08/25/2020

Medical Identifiers

Medical identifiers for Derek Marrongelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417581539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist LAC-010133 (Arizona)Primary
133N00000XNutritionist 5063 (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Marrongelle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derek Marrongelle, DACM, LAC, CCN
113 Pine Creek Dr,
Orwigsburg, PA 17961-9135

Ph: (570) 617-9005
Derek Marrongelle, DACM, LAC, CCN
16421 N Tatum Blvd Ste 210,
Phoenix, AZ 85032-3457

Ph: (570) 617-9005

Reviews and Comments


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