Dr Derek Marcus Stephens, DDS is a
Dentist - General Practice based in Merrilliville, Indiana. Dr Derek Marcus Stephens is licensed to practice in Indiana (license number IN12008151A) and his current practice location is
113 W 86th Ave, Merrilliville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 736-2007.
NPI number for Dr Derek Marcus Stephens is 1245431352 and his current mailing address is 113 W 86th Ave, Merrilliville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245431352.
Healthcare Provider's Profile
| Full Name | Dr Derek Marcus Stephens |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 113 W 86th Ave, Merrilliville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245431352
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Derek Marcus Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245431352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | IN12008151A (Indiana) | 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 Marcus Stephens 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 Marcus Stephens, DDS
113 W 86th Ave,
Merrilliville, IN 46410-7063
Ph: (219) 736-2007 | Dr Derek Marcus Stephens, DDS
113 W 86th Ave,
Merrilliville, IN 46410-7063
Ph: (219) 736-2007 |
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