| Dr Derick E Vergne, MD | |
|
179 Great Rd Ste 201, Acton, MA 01720-5774 | |
| (857) 239-1911 | |
| (617) 544-0937 |
| Full Name | Dr Derick E Vergne |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 179 Great Rd Ste 201, Acton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013066083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 249376 (Massachusetts) | Primary |
| Entity Name | Derick E Vergne Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003536798 PECOS PAC ID: 2062888688 Enrollment ID: O20221021001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derick E Vergne, MD 179 Great Rd, Ste 201, Acton, MA 01720-5774 Ph: (857) 239-1911 | Dr Derick E Vergne, MD 179 Great Rd Ste 201, Acton, MA 01720-5774 Ph: (857) 239-1911 |
Dr. Kenneth Minkoff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Powdermill Rd # 319, Acton, MA 01720 Phone: 978-502-1729 Fax: 415-455-8016 | |
Dr. Peter Joseph Musliner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 518 Great Road, Acton, MA 01720 Phone: 978-263-4878 Fax: 978-635-0386 | |
Alia Goodheart, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 33 Nagog Park Ste 215, Acton, MA 01720 Phone: 508-834-3183 Fax: 508-532-1168 | |
Alison Mary Sheridan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 518 Great Rd, Acton, MA 01720 Phone: 978-263-4878 Fax: 978-635-0386 | |
Dr. Eugene Victor Beresin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80 School St, Acton, MA 01720 Phone: 617-726-8471 | |
Devin Gibbs, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 518 Great Rd, Acton, MA 01720 Phone: 978-263-4878 |