Dr Willard Dere, MD - Internal Medicine in Salt Lake City, UT

Dr Willard Dere, MD is a Internal Medicine physician based in Salt Lake City, Utah. Dr Willard Dere is licensed to practice in Indiana (license number 01038107A) and his current practice location is 500 Foothill Blvd, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 582-1565.

NPI number for Dr Willard Dere is 1003286758 and his current mailing address is 15 N 2030 E, Room 2160a, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003286758.

Contact Information

Dr Willard Dere, MD
500 Foothill Blvd,
Salt Lake City, UT 84148-0001
(801) 582-1565
Not Available

Map and Direction




Physician's Profile

Full NameDr Willard Dere
GenderMale
SpecialityInternal Medicine
Location500 Foothill Blvd, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003286758
  • Provider Enumeration Date: 10/06/2015
  • Last Update Date: 10/06/2015

Medical Identifiers

Medical identifiers for Dr Willard Dere such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003286758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01038107A (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 Willard Dere 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 AddressPractice Location Address
Dr Willard Dere, MD
15 N 2030 E, Room 2160a,
Salt Lake City, UT 84112-5339

Ph: (801) 585-2516
Dr Willard Dere, MD
500 Foothill Blvd,
Salt Lake City, UT 84148-0001

Ph: (801) 582-1565

Reviews and Comments


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