Dr Albert T Derivan, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Audubon, Pennsylvania. His current practice location is
23438 Shannondell Dr, Audubon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 260-1721.
Dr Albert T Derivan is licensed to practice in Pennsylvania (license number MD034282E) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235135294.
Physician's Profile
Full Name | Dr Albert T Derivan |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 23438 Shannondell Dr, Audubon, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235135294
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 04/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062644701
- Enrollment ID: I20140412000020
Medical Identifiers
Medical identifiers for Dr Albert T Derivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235135294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD034282E (Pennsylvania) | 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 Albert T Derivan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Albert T Derivan, MD 23438 Shannondell Dr, Audubon, PA 19403-5675 Ph: (215) 260-1721 | Dr Albert T Derivan, MD 23438 Shannondell Dr, Audubon, PA 19403-5675 Ph: (215) 260-1721 |
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