Shira Derose, MS is a
Community Health Worker based in Sandusky, Ohio. Shira Derose is licensed to practice in Ohio (license number ) and her current practice location is
1522 E Perkins Ave Ste A, Sandusky, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 610-2308.
NPI number for Shira Derose is 1932402252 and her current mailing address is 1522 E Perkins Ave Ste A, Sandusky, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932402252.
Healthcare Provider's Profile
Full Name | Shira Derose |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 1522 E Perkins Ave Ste A, Sandusky, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932402252
- Provider Enumeration Date: 12/08/2010
- Last Update Date: 01/24/2023
Medical Identifiers
Medical identifiers for Shira Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932402252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (Ohio) | 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. Shira Derose 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 |
Shira Derose, MS 1522 E Perkins Ave Ste A, Sandusky, OH 44870-7991 Ph: (419) 610-2308 | Shira Derose, MS 1522 E Perkins Ave Ste A, Sandusky, OH 44870-7991 Ph: (419) 610-2308 |
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