Daniel Kade Derrick, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tucson, Arizona. His current practice location is
1625 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 694-0111.
Daniel Kade Derrick is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639929904.
Physician's Profile
| Full Name | Daniel Kade Derrick |
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| 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639929904
- Provider Enumeration Date: 03/27/2024
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092221168
- Enrollment ID: I20250724000990
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
enrolled with medicare and thus, if eligible, can 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: Not Available | Daniel Kade Derrick, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 694-0111 |
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