Dr Dana M Derrick, DC | |
6508 W Lincoln Ave, West Allis, WI 53219-2045 | |
(414) 328-1734 | |
(414) 328-3166 |
Full Name | Dr Dana M Derrick |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 6508 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730410838 | NPI | - | NPPES |
WI2798001 | Other | WI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4546-012 (Wisconsin) | Primary |
Provider Name | Derrick Family Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285999524 PECOS PAC ID: 3375709983 Enrollment ID: O20120726000403 |
Mailing Address | Practice Location Address |
---|---|
Dr Dana M Derrick, DC 6508 W Lincoln Ave, West Allis, WI 53219-2045 Ph: (414) 328-1734 | Dr Dana M Derrick, DC 6508 W Lincoln Ave, West Allis, WI 53219-2045 Ph: (414) 328-1734 |
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