Lynn Marie Derickson, is a
Registered Nurse - Psychiatric/mental Health based in Fruitland, Maryland. Lynn Marie Derickson is licensed to practice in Maryland (license number R042119) and her current practice location is
103 E Main St, Fruitland, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 831-3899.
NPI number for Lynn Marie Derickson is 1588538870 and her current mailing address is 103 E Main St, Fruitland, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588538870.
Provider's Profile
Full Name | Lynn Marie Derickson |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 103 E Main St, Fruitland, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588538870
- Provider Enumeration Date: 10/01/2025
- Last Update Date: 10/01/2025
Medical Identifiers
Medical identifiers for Lynn Marie Derickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588538870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | R042119 (Maryland) | 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. Lynn Marie Derickson 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 |
Lynn Marie Derickson, 103 E Main St, Fruitland, MD 21826-1604 Ph: (410) 831-3899 | Lynn Marie Derickson, 103 E Main St, Fruitland, MD 21826-1604 Ph: (410) 831-3899 |
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