Derwent O Daniel, NP is a
Nurse Practitioner - Gerontology based in West Blocton, Alabama. Derwent O Daniel is licensed to practice in Tennessee (license number ) and his current practice location is
345 Magnolia Street, West Blocton, Alabama. He can be reached at his office (for appointments etc.) via phone at
(205) 938-9508.
NPI number for Derwent O Daniel is 1467573618 and his current mailing address is 2731 Mlk Jr Blvd, Tuscaloosa, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467573618.
Provider's Profile
| Full Name | Derwent O Daniel |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 345 Magnolia Street, West Blocton, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467573618
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Derwent O Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467573618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | (Tennessee) | 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. Derwent O Daniel 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 |
|---|
Derwent O Daniel, NP
2731 Mlk Jr Blvd,
Tuscaloosa, AL 35401-5235
Ph: (205) 349-3250 | Derwent O Daniel, NP
345 Magnolia Street,
West Blocton, AL 35184
Ph: (205) 938-9508 |
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