Mr Derek A West, is a
Nurse's Aide based in Fairburn, Georgia. Mr Derek A West is licensed to practice in Georgia (license number PHCP011562) and his current practice location is
500 Windsor Way, Fairburn, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 786-8598.
NPI number for Mr Derek A West is 1821734856 and his current mailing address is 500 Windsor Way, Fairburn, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821734856.
Provider's Profile
Full Name | Mr Derek A West |
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Gender | Male |
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Speciality | Nurse's Aide |
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Location | 500 Windsor Way, Fairburn, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821734856
- Provider Enumeration Date: 05/11/2022
- Last Update Date: 05/11/2022
Medical Identifiers
Medical identifiers for Mr Derek A West such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821734856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | PHCP011562 (Georgia) | Secondary |
372600000X | Adult Companion | PHCP011562 (Georgia) | Secondary |
163WA2000X | Registered Nurse - Administrator | PHCP011562 (Georgia) | Secondary |
163WH0200X | Registered Nurse - Home Health | PHCP011562 (Georgia) | Secondary |
163WP0200X | Registered Nurse - Pediatrics | PHCP011562 (Georgia) | Secondary |
163WW0000X | Registered Nurse - Wound Care | PHCP011562 (Georgia) | Secondary |
172A00000X | Driver | PHCP011562 (Georgia) | Secondary |
374U00000X | Home Health Aide | PHCP011562 (Georgia) | Secondary |
376K00000X | Nurse's Aide | PHCP011562 (Georgia) | 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 Derek A West 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 |
Mr Derek A West, 500 Windsor Way, Fairburn, GA 30213-6446 Ph: (404) 786-8598 | Mr Derek A West, 500 Windsor Way, Fairburn, GA 30213-6446 Ph: (404) 786-8598 |
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