Dr. Michael Ian Derrick
M.D. | Pediatric Allergy-Immunology | Male
Dr. Michael Ian Derrick, M.D. is a Murfreesboro, Tennessee based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Michael Ian Derrick is
1272 Garrison Dr, Murfreesboro, Tennessee - 37129-2598. He can be contacted on phone at
615-893-4480 and fax number 615-895-6212.
Dr. Michael Ian Derrick is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Ian Derrick is
1275828717 which was assigned by NPPES on 13 Jun, 2011 and it was last updated on 25 Jul, 2022.
Dr. Michael Ian Derrick license number is
MD65969 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Tennessee.
Dr. Michael Ian Derrick specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Michael Ian Derrick basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Michael Ian Derrick |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Michael Ian Derrick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1272 Garrison Dr
Murfreesboro, TN, 37129-2598
United States |
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| Phone Number : | 615-893-4480 |
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| Fax Number : | 615-895-6212 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275828717 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jun, 2011 |
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| Last Updated On : | 25 Jul, 2022 |
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Medicare Participation:
Dr. Michael Ian Derrick participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375763550 |
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| Medicare Enrollment ID : | I20220801000345 |
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| Primary Specialty : | Allergy/immunology |
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| Medical School : | Vanderbilt University School Of Medicine |
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| Graduation Year : | 2017 |
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| Accepts Medicare? | Yes. Dr. Michael Ian Derrick accepts medicare insurance. |
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Group Practice Association:
Dr. Michael Ian Derrick is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael Ian Derrick is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Murfreesboro Medical Clinic, P.a. | 4789589227 | 150 | 1272 Garrison Dr
Murfreesboro, TN - 371292570
Ph: 6158934480 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Ian Derrick are as mentioned. Primary taxonomy code for Dr. Michael Ian Derrick, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | No | 04-40205 | KS |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | No | 2017023519 | MO |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | MD65969 | TN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1272 Garrison Dr
Murfreesboro, TN, 37129-2598
United States |
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| Phone Number : | 615-893-4480 |
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| Fax Number : | 615-895-6212 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Ian Derrick practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.