Dr Richard Derik Detheridge, MD in Tacoma, WA

Dr Richard Derik Detheridge, MD is a medicare enrolled "Family Medicine" physician in Tacoma, Washington. His current practice location is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 477-5690.

Dr Richard Derik Detheridge is licensed to practice in Indiana (license number 01073405A) 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 1518222900.

Contact Information

	Dr Richard Derik Detheridge, MD
	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001
	(253) 477-5690
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Richard Derik Detheridge
Gender	Male
Speciality	Family Medicine
Location	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518222900
Provider Enumeration Date: 07/11/2012
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 8527291483
Enrollment ID: I20140429001514

Medical Identifiers

Medical identifiers for Dr Richard Derik Detheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518222900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01073405A (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 Richard Derik Detheridge 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 Richard Derik Detheridge, MD Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 477-5690	Dr Richard Derik Detheridge, MD Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 477-5690

Reviews and Comments

Family Medicine Doctors in Tacoma, WA

Dr. Kristina Siu Petsas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Mrs. Anne Garces Laporte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
James M Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Loren B Betteridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3733 S Thompson Ave, Tacoma, WA 98418 Phone: 253-472-4473 Fax: 253-474-3056
Dr. Thuy-tien V Le, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402 Phone: 702-871-8535 Fax: 941-499-0035
Alexander K Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-459-7785
Willa Alise Marinov, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Avenue Department Of Family Medicine, Tacoma, WA 98431 Phone: 253-968-4644

Dr Richard Derik Detheridge, MD - Medicare Family Medicine in Tacoma, WA