Derk Miles Replogle, LCADC is a
Counselor - Addiction (substance Use Disorder) based in Haskell, New Jersey. Derk Miles Replogle is licensed to practice in New Jersey (license number 37LC00183300) and his current practice location is
1069 Ringwood Ave, Suite 301, Haskell, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 831-0613.
NPI number for Derk Miles Replogle is 1518373463 and his current mailing address is 7 Industrial Rd, Pequannock, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518373463.
Healthcare Provider's Profile
Full Name | Derk Miles Replogle |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1069 Ringwood Ave, Haskell, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518373463
- Provider Enumeration Date: 07/10/2014
- Last Update Date: 07/27/2016
Medical Identifiers
Medical identifiers for Derk Miles Replogle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518373463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00183300 (New Jersey) | 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. Derk Miles Replogle 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 Address | Practice Location Address |
Derk Miles Replogle, LCADC 7 Industrial Rd, Pequannock, NJ 07440-1901 Ph: (973) 839-2520 | Derk Miles Replogle, LCADC 1069 Ringwood Ave, Suite 301, Haskell, NJ 07420-1408 Ph: (973) 831-0613 |
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