Mr Derek Derose, is a
Occupational Therapist based in China, Maine. Mr Derek Derose is licensed to practice in Connecticut (license number 4186) and his current practice location is
680 Pleasant View Ridge Rd, China, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 620-6544.
NPI number for Mr Derek Derose is 1912320011 and his current mailing address is 680 Pleasant View Ridge Rd, China, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912320011.
Healthcare Provider's Profile
Full Name | Mr Derek Derose |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 680 Pleasant View Ridge Rd, China, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912320011
- Provider Enumeration Date: 01/24/2014
- Last Update Date: 01/24/2014
Medical Identifiers
Medical identifiers for Mr Derek Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912320011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 4186 (Connecticut) | 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 Derose 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 Derose, 680 Pleasant View Ridge Rd, China, ME 04358-4420 Ph: (207) 620-6544 | Mr Derek Derose, 680 Pleasant View Ridge Rd, China, ME 04358-4420 Ph: (207) 620-6544 |
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