Andrew Donald Dertien, - Counselor in San Francisco, CA

Andrew Donald Dertien, is a Counselor - Addiction (substance Use Disorder) based in San Francisco, California. Andrew Donald Dertien is licensed to practice in California (license number R1410691120) and his current practice location is 1111 Market St Fl 1, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at (415) 863-3883.

NPI number for Andrew Donald Dertien is 1013512383 and his current mailing address is 1563 Mission St, San Francisco, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013512383.

Contact Information

Andrew Donald Dertien,
1111 Market St Fl 1,
San Francisco, CA 94103-1589
(415) 863-3883
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAndrew Donald Dertien
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1111 Market St Fl 1, San Francisco, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013512383
  • Provider Enumeration Date: 12/03/2020
  • Last Update Date: 03/17/2023

Medical Identifiers

Medical identifiers for Andrew Donald Dertien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013512383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) R1410691120 (California)Primary

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. Andrew Donald Dertien 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
Andrew Donald Dertien,
1563 Mission St,
San Francisco, CA 94103-2543

Ph: (415) 762-3700
Andrew Donald Dertien,
1111 Market St Fl 1,
San Francisco, CA 94103-1589

Ph: (415) 863-3883

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