Mr Dejo Viprakasit, MD is a
Urology physician based in Covington, Tennessee. Mr Dejo Viprakasit is licensed to practice in Tennessee (license number MD11008) and his current practice location is 1995 Hwy 51 South, Suite 104, Covington, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(901) 476-1135.
NPI number for Mr Dejo Viprakasit is 1255312096 and his current mailing address is Po Box 388, 1995 Hwy 51 South Suite 104, Covington, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255312096.
Physician's Profile
| Full Name | Mr Dejo Viprakasit |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 1995 Hwy 51 South, Covington, Tennessee |
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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: 1255312096
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Dejo Viprakasit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255312096 | NPI | - | NPPES |
| 3383546 | Medicaid | TN | |
| 4031846 | Other | | AETNA |
| 2007928 | Other | TN | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD11008 (Tennessee) | 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. Mr Dejo Viprakasit 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 |
|---|
Mr Dejo Viprakasit, MD
Po Box 388, 1995 Hwy 51 South Suite 104,
Covington, TN 38019
Ph: (901) 476-1135 | Mr Dejo Viprakasit, MD
1995 Hwy 51 South, Suite 104,
Covington, TN 38019
Ph: (901) 476-1135 |
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