Dr Dermont Matarjaro Spell, DC is a
Chiropractor based in Hurlburt Field, Florida. Dr Dermont Matarjaro Spell is licensed to practice in South Carolina (license number 4289) and his current practice location is
130 Letourneu Circle Bldg 90311, Hurlburt Field, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 881-4327.
NPI number for Dr Dermont Matarjaro Spell is 1881924546 and his current mailing address is 130 Letourneu Circle Bldg 90311, Hurlburt Field, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881924546.
Healthcare Provider's Profile
| Full Name | Dr Dermont Matarjaro Spell |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 130 Letourneu Circle Bldg 90311, Hurlburt Field, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881924546
- Provider Enumeration Date: 12/31/2009
- Last Update Date: 02/15/2021
Medical Identifiers
Medical identifiers for Dr Dermont Matarjaro Spell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881924546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC-27702 (California) | Secondary |
| 111N00000X | Chiropractor | 4289 (South Carolina) | 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. Dr Dermont Matarjaro Spell 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 |
|---|
Dr Dermont Matarjaro Spell, DC
130 Letourneu Circle Bldg 90311,
Hurlburt Field, FL 52544-5613
Ph: (850) 881-4327 | Dr Dermont Matarjaro Spell, DC
130 Letourneu Circle Bldg 90311,
Hurlburt Field, FL 52544-5613
Ph: (850) 881-4327 |
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