Dr Micheal Cory Dearborn, DO is a
Nuclear Medicine physician based in San Antonio, Texas. Dr Micheal Cory Dearborn is licensed to practice in Maine (license number DO2965) and his current practice location is 3551 Roger Brooke Dr, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 220-8617.
NPI number for Dr Micheal Cory Dearborn is 1528569902 and his current mailing address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528569902.
Physician's Profile
| Full Name | Dr Micheal Cory Dearborn |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 3551 Roger Brooke Dr, San Antonio, Texas |
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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: 1528569902
- Provider Enumeration Date: 02/22/2018
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Dr Micheal Cory Dearborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528569902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | DO2965 (Maine) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | DO2965 (Maine) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207U00000X | Nuclear Medicine | DO2965 (Maine) | 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 Micheal Cory Dearborn 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 Micheal Cory Dearborn, DO
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: () - | Dr Micheal Cory Dearborn, DO
3551 Roger Brooke Dr,
San Antonio, TX 78234
Ph: (210) 220-8617 |
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