Dr Jose J Dergan, PSYD in Doral, FL - Medicare Clinical Psychologist Provider

Dr Jose J Dergan, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Doral, Florida. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 8249 Nw 36th St Ste 102, Doral, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 599-1970.

Dr Jose J Dergan is licensed to practice in Florida (license number PY 004206) 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 1629160817.

Contact Information

	Dr Jose J Dergan, PSYD
	8249 Nw 36th St Ste 102, Doral, FL 33166-6673
	(305) 599-1970
	(305) 599-1971

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jose J Dergan
Gender	Male
Speciality	Clinical Psychologist
Experience	37 Years
Location	8249 Nw 36th St Ste 102, Doral, Florida
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:

Dr Jose J Dergan graduated from medical school in 1987

NPI Data:

NPI Number: 1629160817
Provider Enumeration Date: 09/28/2006
Last Update Date: 11/22/2010

Medicare PECOS Information:

PECOS PAC ID: 0345426482
Enrollment ID: I20110608000536

Medical Identifiers

Medical identifiers for Dr Jose J Dergan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629160817	NPI	-	NPPES
65-0167578	Other	FL	TAX IDENTIFICATION
210099100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY 004206 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Larkin Community Hospital Palm Springs Campus	Hialeah, FL	Hospital

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. Dr Jose J Dergan allows following entities to bill medicare on his behalf.

Entity Name	Jose J Dergan P. A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063714178 PECOS PAC ID: 3971789132 Enrollment ID: O20110524000317

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. Dr Jose J Dergan 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
Dr Jose J Dergan, PSYD 8249 Nw 36th St Ste 102, Doral, FL 33166-6673 Ph: (305) 599-1970	Dr Jose J Dergan, PSYD 8249 Nw 36th St Ste 102, Doral, FL 33166-6673 Ph: (305) 599-1970

Reviews and Comments

Psychologist in Doral, FL

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Dr Jose J Dergan, PSYD - Medicare Psychologist in Doral, FL