Jerry Michael Mccormick, MD - Dermatology in Brooklyn Center, MN

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Jerry Michael Mccormick, MD is a Dermatology physician based in Brooklyn Center, Minnesota. Jerry Michael Mccormick is licensed to practice in Minnesota (license number 29706) and his current practice location is 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 569-0300.

NPI number for Jerry Michael Mccormick is 1811962616 and his current mailing address is 6845 Lee Ave N, 31400a, Brooklyn Center, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811962616.

Contact Information

Jerry Michael Mccormick, MD
6845 Lee Ave N, Mail Stop 31400a,
Brooklyn Center, MN 55429-1717
(763) 569-0300
(763) 569-0311

Map and Direction




Physician's Profile

Full NameJerry Michael Mccormick
GenderMale
SpecialityDermatology
Location6845 Lee Ave N, Brooklyn Center, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811962616
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 08/20/2008

Medical Identifiers

Medical identifiers for Jerry Michael Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811962616NPI-NPPES
158380800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 29706 (Minnesota)Primary
207N00000XDermatology 24722 (Wisconsin)Secondary

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. Jerry Michael Mccormick 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
Jerry Michael Mccormick, MD
6845 Lee Ave N, 31400a,
Brooklyn Center, MN 55429-1717

Ph: (763) 503-4395		Jerry Michael Mccormick, MD
6845 Lee Ave N, Mail Stop 31400a,
Brooklyn Center, MN 55429-1717

Ph: (763) 569-0300

Reviews and Comments


Dermatology Doctors in Brooklyn Center, MN


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