Theresa Lydia Deroy, is a
Registered Nurse based in Douglas, Massachusetts. Theresa Lydia Deroy is licensed to practice in Massachusetts (license number 175554) and her current practice location is
753 Nw Main St, Douglas, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 476-1112.
NPI number for Theresa Lydia Deroy is 1972636736 and her current mailing address is 753 Nw Main St, Douglas, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972636736.
Provider's Profile
Full Name | Theresa Lydia Deroy |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 753 Nw Main St, Douglas, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972636736
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Theresa Lydia Deroy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972636736 | NPI | - | NPPES |
0708119 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 175554 (Massachusetts) | 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. Theresa Lydia Deroy 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 |
Theresa Lydia Deroy, 753 Nw Main St, Douglas, MA 01516-2802 Ph: (508) 476-1112 | Theresa Lydia Deroy, 753 Nw Main St, Douglas, MA 01516-2802 Ph: (508) 476-1112 |
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