Dr Luke H Derhake, DMD is a
Dentist - General Practice based in Lebanon Junction, Kentucky. Dr Luke H Derhake is licensed to practice in Kentucky (license number 4935) and his current practice location is
11737 S Preston Hwy, Lebanon Junction, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 833-4664.
NPI number for Dr Luke H Derhake is 1679560783 and his current mailing address is 11737 S Preston Hwy, Lebanon Junction, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679560783.
Healthcare Provider's Profile
| Full Name | Dr Luke H Derhake |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 11737 S Preston Hwy, Lebanon Junction, Kentucky |
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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: 1679560783
- Provider Enumeration Date: 10/04/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Luke H Derhake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679560783 | NPI | - | NPPES |
| 60049350 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 4935 (Kentucky) | 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 Luke H Derhake 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 Luke H Derhake, DMD
11737 S Preston Hwy,
Lebanon Junction, KY 40150-8420
Ph: (502) 833-4664 | Dr Luke H Derhake, DMD
11737 S Preston Hwy,
Lebanon Junction, KY 40150-8420
Ph: (502) 833-4664 |
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