Mary M Derksen, CNS - Nurse Practitioner in Holland, MI

Mary M Derksen, CNS is a Nurse Practitioner - Psychiatric/mental Health based in Holland, Michigan. Mary M Derksen is licensed to practice in Michigan (license number 4704158809) and her current practice location is 12265 James St, Holland, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 494-5453.

NPI number for Mary M Derksen is 1194749812 and her current mailing address is 12265 James St, Holland, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194749812.

Contact Information

Mary M Derksen, CNS
12265 James St,
Holland, MI 49424-8613
(616) 494-5453
Not Available

Map and Direction




Provider's Profile

Full NameMary M Derksen
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12265 James St, Holland, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194749812
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 02/13/2012

Medical Identifiers

Medical identifiers for Mary M Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194749812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704158809 (Michigan)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. Mary M Derksen 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 AddressPractice Location Address
Mary M Derksen, CNS
12265 James St,
Holland, MI 49424-8613

Ph: (616) 494-5453
Mary M Derksen, CNS
12265 James St,
Holland, MI 49424-8613

Ph: (616) 494-5453

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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