Mr Phillip T Deturk, NP in West Lafayette, IN

Mr Phillip T Deturk, NP is a medicare enrolled "Nurse Practitioner" in West Lafayette, Indiana. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Randall Dermatology, Pc and his current practice location is 124 Sagamore Pkwy West, West Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 463-6722.

Mr Phillip T Deturk is licensed to practice in Indiana (license number 71002161A) 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 1275626095.

Contact Information

	Mr Phillip T Deturk, NP
	124 Sagamore Pkwy West, West Lafayette, IN 47906
	(765) 463-6722
	(765) 463-0905

Map and Direction

Provider's Profile

Full Name	Mr Phillip T Deturk
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	124 Sagamore Pkwy West, West Lafayette, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Phillip T Deturk graduated from nursing school in 2006

NPI Data:

NPI Number: 1275626095
Provider Enumeration Date: 10/02/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4082785704
Enrollment ID: I20080624000018

Medical Identifiers

Medical identifiers for Mr Phillip T Deturk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275626095	NPI	-	NPPES
71002161B	Other	IN	APN CSR REFERENCE
71002161A	Other	IN	NURSE PRACTITIONER AUTHOR
28153076A	Other	IN	REGISTERED NURSE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71002161A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Randall Dermatology, Pc	3678675329	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Phillip T Deturk allows following entities to bill medicare on his behalf.

Entity Name	Randall Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245340488 PECOS PAC ID: 3678675329 Enrollment ID: O20070227000078

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 Phillip T Deturk 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 Phillip T Deturk, NP 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722	Mr Phillip T Deturk, NP 124 Sagamore Pkwy West, West Lafayette, IN 47906 Ph: (765) 463-6722

Reviews and Comments

Nurse Practitioner Nurses in West Lafayette, IN

Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227
Mrs. Ashley Nicole Hogan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 317-207-7413
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040

Mr Phillip T Deturk, NP - Medicare Nurse Practitioner in West Lafayette, IN