Samuel Derossett, is a
Massage Therapist based in New Haven, Michigan. Samuel Derossett is licensed to practice in Michigan (license number 7501012056) and his current practice location is
37681 Sandstone Trl, New Haven, Michigan. He can be reached at his office (for appointments etc.) via phone at
(618) 319-0945.
NPI number for Samuel Derossett is 1295414126 and his current mailing address is 37681 Sandstone Trl, New Haven, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295414126.
Healthcare Provider's Profile
| Full Name | Samuel Derossett |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 37681 Sandstone Trl, New Haven, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295414126
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Samuel Derossett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295414126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 7501012056 (Michigan) | 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. Samuel Derossett 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 |
|---|
Samuel Derossett,
37681 Sandstone Trl,
New Haven, MI 48048-3729
Ph: (618) 319-0945 | Samuel Derossett,
37681 Sandstone Trl,
New Haven, MI 48048-3729
Ph: (618) 319-0945 |
Reviews and Comments