Aidan H Derenne, MD in Vancouver, WA - Pediatrics

Aidan H Derenne, MD is a Pediatrics - Adolescent Medicine physician based in Vancouver, Washington. Aidan H Derenne is licensed to practice in Washington (license number MD00037036) and his current practice location is 505 Ne 87th Ave, Ste 120, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 892-1635.

NPI number for Aidan H Derenne is 1003886805 and his current mailing address is 505 Ne 87th Ave, Ste 120, Vancouver, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003886805.

Contact Information

	Aidan H Derenne, MD
	505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989
	(360) 892-1635
	(360) 892-3146

Physician's Profile

Full Name	Aidan H Derenne
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	505 Ne 87th Ave, Vancouver, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003886805
Provider Enumeration Date: 01/24/2006
Last Update Date: 07/10/2007

Medical Identifiers

Medical identifiers for Aidan H Derenne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003886805	NPI	-	NPPES
1106434	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	MD00037036 (Washington)	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. Aidan H Derenne 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
Aidan H Derenne, MD 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 Ph: (360) 892-1635	Aidan H Derenne, MD 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 Ph: (360) 892-1635

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Pediatrics Doctors in Vancouver, WA

Charles E Fuchs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146
Laurie Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-1328
Jing Jing Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1758
Veronica S Erhart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-891-7300
Katherine Elizabeth Holland, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146
Jennifer L Soden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146

Aidan H Derenne, MD - Pediatrics in Vancouver, WA