Dr Jerry Alvin Dearth, MD is a medicare enrolled "Family Medicine" physician in Grabill, Indiana. His current practice location is
13410 Main St, Box 340, Grabill, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 422-2481.
Dr Jerry Alvin Dearth is licensed to practice in Indiana (license number 01029438A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588779375.
Physician's Profile
| Full Name | Dr Jerry Alvin Dearth |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 13410 Main St, Grabill, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerry Alvin Dearth attended and graduated from in
NPI Data:
- NPI Number: 1588779375
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jerry Alvin Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588779375 | NPI | - | NPPES |
| 100055390 | Medicaid | IN | |
| 000000595570 | Other | IN | ANTHEM |
| P00698419 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01029438A (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 Jerry Alvin Dearth 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 Jerry Alvin Dearth, MD
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Dr Jerry Alvin Dearth, MD
13410 Main St, Box 340,
Grabill, IN 46741-2001
Ph: (260) 422-2481 |
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