James L. Derrico Dds Llc - Medicare Dental Clinic in Jackson, WY

James L. Derrico Dds Llc is a medicare enrolled dental clinic (Durable Medical Equipment & Medical Supplies - Customized Equipment) in Jackson, Wyoming. The current practice location for James L. Derrico Dds Llc is 1130 S Hwy 89, Jackson, Wyoming. For appointments, you can reach them via phone at (307) 200-6644. The mailing address for James L. Derrico Dds Llc is Po Box 806, Jackson, Wyoming and phone number is (630) 399-7367.

James L. Derrico Dds Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235700014. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (307) 200-6644.

Contact Information

James L. Derrico Dds Llc
1130 S Hwy 89
Jackson
WY 83001-8512
(307) 200-6644
Not Available

Dental Care Clinic Profile

Full NameJames L. Derrico Dds Llc
SpecialityDurable Medical Equipment & Medical Supplies
Location1130 S Hwy 89, Jackson, Wyoming
Authorized Official Name and PositionJames L Derrico (OWNER)
Authorized Official Contact6303997367
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James L. Derrico Dds Llc
Po Box 806
Jackson
WY 83001-0806

Ph: (630) 399-7367
James L. Derrico Dds Llc
1130 S Hwy 89
Jackson
WY 83001-8512

Ph: (307) 200-6644

NPI Details:

NPI Number1235700014
Provider Enumeration Date07/02/2021
Last Update Date08/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6002274354
Medicare Enrollment IDO20230620001595

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Medical Identifiers

Medical identifiers for James L. Derrico Dds Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235700014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Secondary
332BC3200XDurable Medical Equipment & Medical Supplies - Customized Equipment (* (Not Available))Primary

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