Theodore Louis Dern, MD is a
Radiology - Diagnostic Radiology physician based in Elko, Nevada. Theodore Louis Dern is licensed to practice in Nevada (license number 8646) and his current practice location is 2001 Errecart Blvd, Elko, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 938-5151.
NPI number for Theodore Louis Dern is 1235238262 and his current mailing address is 605 Wolf Creek Dr, Spring Creek, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235238262.
Physician's Profile
| Full Name | Theodore Louis Dern |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 2001 Errecart Blvd, Elko, Nevada |
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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: 1235238262
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 03/02/2024
Medical Identifiers
Medical identifiers for Theodore Louis Dern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235238262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 8646 (Nevada) | 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. Theodore Louis Dern 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 |
|---|
Theodore Louis Dern, MD
605 Wolf Creek Dr,
Spring Creek, NV 89815-7240
Ph: (775) 753-6714 | Theodore Louis Dern, MD
2001 Errecart Blvd,
Elko, NV 89801-8333
Ph: (775) 938-5151 |
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