Tory Deriso, - Licensed Practical Nurse in Wixom, MI

Tory Deriso, is a Licensed Practical Nurse based in Wixom, Michigan. Tory Deriso is licensed to practice in Michigan (license number 4703108814) and his current practice location is 27026 Meadowood Dr Apt 204, Wixom, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 773-7687.

NPI number for Tory Deriso is 1730573247 and his current mailing address is 27026 Meadowood Dr Apt 204, Wixom, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730573247.

Contact Information

Tory Deriso,
27026 Meadowood Dr Apt 204,
Wixom, MI 48393-3271
(248) 773-7687
Not Available

Map and Direction




Provider's Profile

Full NameTory Deriso
GenderMale
SpecialityLicensed Practical Nurse
Location27026 Meadowood Dr Apt 204, Wixom, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730573247
  • Provider Enumeration Date: 03/23/2015
  • Last Update Date: 03/23/2015

Medical Identifiers

Medical identifiers for Tory Deriso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730573247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4703108814 (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. Tory Deriso 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 AddressPractice Location Address
Tory Deriso,
27026 Meadowood Dr Apt 204,
Wixom, MI 48393-3271

Ph: (248) 773-7687
Tory Deriso,
27026 Meadowood Dr Apt 204,
Wixom, MI 48393-3271

Ph: (248) 773-7687

Reviews and Comments


Licensed Practical Nurse Nurses in Wixom, MI

Omaka Mokambe,
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Phone: 248-790-5926    
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Practice Location: 2090 Devonshire Dr, Wixom, MI 48393
Phone: 248-425-9245    
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Practice Location: 30941 Tamarack St Apt 32202, Wixom, MI 48393
Phone: 313-641-1220    
Elvira Shani,
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Medicare: Not Enrolled in Medicare
Practice Location: 31161 Wildwood St Apt 6209, Wixom, MI 48393
Phone: 586-843-6823    
Mrs. Felicia Marshall, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 30830 Stone Ridge Dr, Apt 6116, Wixom, MI 48393
Phone: 248-469-9395    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.