Dr Derek Alan Clemmer, DMD is a
Dentist based in Ashland, Mississippi. Dr Derek Alan Clemmer is licensed to practice in Mississippi (license number 3565-10) and his current practice location is
15921 Boundary Dr, Ashland, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 224-8951.
NPI number for Dr Derek Alan Clemmer is 1023322765 and his current mailing address is Po Box 92, Ashland, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023322765.
Healthcare Provider's Profile
Full Name | Dr Derek Alan Clemmer |
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Gender | Male |
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Speciality | Dentist |
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Location | 15921 Boundary Dr, Ashland, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023322765
- Provider Enumeration Date: 08/05/2010
- Last Update Date: 08/05/2010
Medical Identifiers
Medical identifiers for Dr Derek Alan Clemmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023322765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 3565-10 (Mississippi) | 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. Dr Derek Alan Clemmer 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 |
Dr Derek Alan Clemmer, DMD Po Box 92, Ashland, MS 38603-0092 Ph: (662) 224-8951 | Dr Derek Alan Clemmer, DMD 15921 Boundary Dr, Ashland, MS 38603-7740 Ph: (662) 224-8951 |
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