Derek Ebbers, is a
Dietitian, Registered - Nutrition, Sports Dietetics based in Brookhaven, Mississippi. Derek Ebbers is licensed to practice in * (Not Available) (license number ) and his current practice location is
2154 Warren Rd Se, Brookhaven, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 754-0530.
NPI number for Derek Ebbers is 1972129856 and his current mailing address is 2154 Warren Rd Se, Brookhaven, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972129856.
Healthcare Provider's Profile
Full Name | Derek Ebbers |
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Gender | Male |
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Speciality | Dietitian, Registered - Nutrition, Sports Dietetics |
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Location | 2154 Warren Rd Se, Brookhaven, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972129856
- Provider Enumeration Date: 06/17/2020
- Last Update Date: 06/17/2020
Medical Identifiers
Medical identifiers for Derek Ebbers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972129856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | (* (Not Available)) | 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. Derek Ebbers 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 |
Derek Ebbers, 2154 Warren Rd Se, Brookhaven, MS 39601-9587 Ph: (601) 754-0530 | Derek Ebbers, 2154 Warren Rd Se, Brookhaven, MS 39601-9587 Ph: (601) 754-0530 |
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