Daniel Kade Derrick, MD is a
Student In An Organized Health Care Education/training Program physician based in Tucson, Arizona. Daniel Kade Derrick is licensed to practice in * (Not Available) (license number ) and his current practice location is 1625 N Campbell Ave, Tucson, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 694-0111.
NPI number for Daniel Kade Derrick is 1639929904 and his current mailing address is Po Box 245067, Tucson, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639929904.
Physician's Profile
| Full Name | Daniel Kade Derrick |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1625 N Campbell Ave, Tucson, Arizona |
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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: 1639929904
- Provider Enumeration Date: 03/27/2024
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Daniel Kade Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639929904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R80907 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Daniel Kade Derrick 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 |
|---|
Daniel Kade Derrick, MD
Po Box 245067,
Tucson, AZ 85724-5067
Ph: () - | Daniel Kade Derrick, MD
1625 N Campbell Ave,
Tucson, AZ 85719-4330
Ph: (520) 694-0111 |
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