Gerard Dericks, MD is a
Orthopaedic Surgery physician based in Albany, California. Gerard Dericks is licensed to practice in California (license number G28626) and his current practice location is 1498 Solano Ave, Albany, California. He can be reached at his office (for appointments etc.) via phone at
(510) 524-1680.
NPI number for Gerard Dericks is 1396992392 and his current mailing address is 1498 Solano Ave, Albany, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396992392.
Physician's Profile
| Full Name | Gerard Dericks |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 1498 Solano Ave, Albany, 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: 1396992392
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 08/20/2008
Medical Identifiers
Medical identifiers for Gerard Dericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396992392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | G28626 (California) | Primary |
| 207X00000X | Orthopaedic Surgery | 2486 (Hawaii) | Secondary |
| 207X00000X | Orthopaedic Surgery | E6764 (Texas) | 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. Gerard Dericks 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 |
|---|
Gerard Dericks, MD
1498 Solano Ave,
Albany, CA 94706-2148
Ph: (510) 524-1680 | Gerard Dericks, MD
1498 Solano Ave,
Albany, CA 94706-2148
Ph: (510) 524-1680 |
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