Dr Frantz J Derenoncourt Sr, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in National City, California. Dr Frantz J Derenoncourt Sr is licensed to practice in California (license number G54662) and his current practice location is 655 Euclid Avenue, Suite 405, National City, California. He can be reached at his office (for appointments etc.) via phone at
(619) 267-2910.
NPI number for Dr Frantz J Derenoncourt Sr is 1194736884 and his current mailing address is 655 Euclid Avenue, Suite 405, National City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194736884.
Physician's Profile
| Full Name | Dr Frantz J Derenoncourt Sr |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 655 Euclid Avenue, National City, California |
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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: 1194736884
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Frantz J Derenoncourt Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194736884 | NPI | - | NPPES |
| 00G546621 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G54662 (California) | 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 Frantz J Derenoncourt Sr 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 Frantz J Derenoncourt Sr, MD
655 Euclid Avenue, Suite 405,
National City, CA 91950
Ph: (619) 267-2910 | Dr Frantz J Derenoncourt Sr, MD
655 Euclid Avenue, Suite 405,
National City, CA 91950
Ph: (619) 267-2910 |
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