Dr Heather R Derix, PSYD is a
Psychologist - Clinical based in Rolla, Missouri. Dr Heather R Derix is licensed to practice in Missouri (license number 2008034835) and her current practice location is
1450 E 10th St, Rolla, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 364-7551.
NPI number for Dr Heather R Derix is 1811106644 and her current mailing address is 1450 E 10th St, Rolla, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811106644.
Healthcare Provider's Profile
| Full Name | Dr Heather R Derix |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1450 E 10th St, Rolla, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811106644
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 06/17/2011
Medical Identifiers
Medical identifiers for Dr Heather R Derix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811106644 | NPI | - | NPPES |
| 470798717-29 | Medicaid | NE | |
| 98534 | Other | NE | AUXILARY BCBS |
| 470798717-27 | Medicaid | NE | |
| 470798717-26 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 8291 (Nebraska) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2008034835 (Missouri) | Primary |
| 101YM0800X | Counselor - Mental Health | 2008019412 (Missouri) | Secondary |
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 Heather R Derix 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 Heather R Derix, PSYD
1450 E 10th St,
Rolla, MO 65401-3648
Ph: (573) 364-7551 | Dr Heather R Derix, PSYD
1450 E 10th St,
Rolla, MO 65401-3648
Ph: (573) 364-7551 |
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