Mr David Dennis Dereczyk, PA-C in Detroit, MI - Medicare Physician Assistant

Mr David Dennis Dereczyk, PA-C is a medicare enrolled "Physician Assistant - Medical" in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-1557.

Mr David Dennis Dereczyk is licensed to practice in Michigan (license number 001252) 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 1720158223.

Contact Information

	Mr David Dennis Dereczyk, PA-C
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-1557
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr David Dennis Dereczyk
Gender	Male
Speciality	Physician Assistant - Medical
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720158223
Provider Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6406031384
Enrollment ID: I20110420000264

Medical Identifiers

Medical identifiers for Mr David Dennis Dereczyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720158223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	001252 (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. Mr David Dennis Dereczyk 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
Mr David Dennis Dereczyk, PA-C 30746 Country Ridge Cir, Farmington Hills, MI 48331-1107 Ph: (248) 788-0209	Mr David Dennis Dereczyk, PA-C 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-1557

Reviews and Comments

Physician Assistant Nurses in Detroit, MI

Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
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Mrs. Kimberly Louise Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-6870
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Mrs. Emily M Ioco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-0841

Mr David Dennis Dereczyk, PA-C - Medicare Physician Assistant in Detroit, MI