Gregory Paul Derderian, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Birmingham, Michigan. His current practice location is
538 N Old Woodward Ave, Birmingham, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 594-3091.
Gregory Paul Derderian is licensed to practice in Michigan (license number 5101007182) 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 1457355737.
Physician's Profile
| Full Name | Gregory Paul Derderian |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 538 N Old Woodward Ave, Birmingham, Michigan |
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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:
- Gregory Paul Derderian attended and graduated from in
NPI Data:
- NPI Number: 1457355737
- Provider Enumeration Date: 06/02/2005
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gregory Paul Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457355737 | NPI | - | NPPES |
| 4406461 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | 5101007182 (Michigan) | 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. Gregory Paul Derderian 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 |
|---|
Gregory Paul Derderian, DO
538 N Old Woodward Ave,
Birmingham, MI 48009-5375
Ph: (248) 594-3091 | Gregory Paul Derderian, DO
538 N Old Woodward Ave,
Birmingham, MI 48009-5375
Ph: (248) 594-3091 |
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