Penny Deraps, FNP is a
Nurse Practitioner - Family based in Canaan, Maine. Penny Deraps is licensed to practice in Maine (license number R15754) and her current practice location is
333 Main Street, Canaan, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 474-6990.
NPI number for Penny Deraps is 1487743407 and her current mailing address is 118 Moosehead Trl, Suite 5, Newport, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487743407.
Provider's Profile
| Full Name | Penny Deraps |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
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| Location | 333 Main Street, Canaan, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487743407
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Penny Deraps such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487743407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R15754 (Maine) | 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. Penny Deraps 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 |
|---|
Penny Deraps, FNP
118 Moosehead Trl, Suite 5,
Newport, ME 04953-4020
Ph: (207) 368-4213 | Penny Deraps, FNP
333 Main Street,
Canaan, ME 04929
Ph: (207) 474-6990 |
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