Dr John Derrick Van Doren, MD is a
General Practice physician based in Rancho Mirage, California. Dr John Derrick Van Doren is licensed to practice in California (license number G60750) and his current practice location is 39000 Bob Hope Dr, Rancho Mirage, California. He can be reached at his office (for appointments etc.) via phone at
(951) 375-7966.
NPI number for Dr John Derrick Van Doren is 1841844115 and his current mailing address is 42222 Rancho Las Palmas Dr Unit 986, Rancho Mirage, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841844115.
Physician's Profile
| Full Name | Dr John Derrick Van Doren |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 39000 Bob Hope Dr, Rancho Mirage, California |
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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: 1841844115
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 11/09/2021
Medical Identifiers
Medical identifiers for Dr John Derrick Van Doren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841844115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LA0401X | Anesthesiology - Addiction Medicine | G60750 (California) | Secondary |
| 208D00000X | General Practice | G60750 (California) | 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 John Derrick Van Doren 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 John Derrick Van Doren, MD
42222 Rancho Las Palmas Dr Unit 986,
Rancho Mirage, CA 92270-4268
Ph: (951) 375-7966 | Dr John Derrick Van Doren, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221
Ph: (951) 375-7966 |
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