Dr Marcus S Deranian, MD is a medicare enrolled "Ophthalmology" provider in Decatur, Illinois. His current practice location is
2442 N Route 121, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 233-3101.
Dr Marcus S Deranian is licensed to practice in Illinois (license number 036-069820) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952367351.
Healthcare Provider's Profile
| Full Name | Dr Marcus S Deranian |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 2442 N Route 121, Decatur, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952367351
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 11/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 4587699830
- Enrollment ID: I20080125000472
Medical Identifiers
Medical identifiers for Dr Marcus S Deranian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952367351 | NPI | - | NPPES |
| 036069820 | Medicaid | IL | |
| 180033361 | Other | IL | RAILROAD MEDICARE |
| 374073 | Other | IL | HEALTHLINK |
| 49175 | Other | IL | PERSONAL CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 036069820 (Illinois) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 036069820 (Illinois) | Secondary |
| 207W00000X | Ophthalmology | 036-069820 (Illinois) | 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. Dr Marcus S Deranian is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Marcus S Deranian, MD 2442 N Route 121, Decatur, IL 62526-9461 Ph: (217) 233-3101 | Dr Marcus S Deranian, MD 2442 N Route 121, Decatur, IL 62526-9461 Ph: (217) 233-3101 |
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