Dr Julie Ann Derosa, MD in Crown Point, IN - Medicare Family Medicine

Dr Julie Ann Derosa, MD is a medicare enrolled "Family Medicine" physician in Crown Point, Indiana. Her current practice location is 10090 Georgia Street, Suite #3, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 472-4077.

Dr Julie Ann Derosa is licensed to practice in Indiana (license number 01049022A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376514950.

Contact Information

	Dr Julie Ann Derosa, MD
	10090 Georgia Street, Suite #3, Crown Point, IN 46307
	(219) 472-4077
	(219) 267-1720

Physician's Profile

Full Name	Dr Julie Ann Derosa
Gender	Female
Speciality	Family Medicine
Location	10090 Georgia Street, Suite #3, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376514950
Provider Enumeration Date: 01/31/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3173543360
Enrollment ID: I20190206002988

Medical Identifiers

Medical identifiers for Dr Julie Ann Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376514950	NPI	-	NPPES
01049022A	Other	IN	INDIANA LICENSE
01049022B	Other	IN	CSR
200540460	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01049022A (Indiana)	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 Julie Ann Derosa 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 Julie Ann Derosa, MD 10090 Georgia Street, Suite 3, Crown Point, IN 46307 Ph: (219) 472-4077	Dr Julie Ann Derosa, MD 10090 Georgia Street, Suite #3, Crown Point, IN 46307 Ph: (219) 472-4077

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Family Medicine Doctors in Crown Point, IN

Valerie Cecelia Maguire, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307 Phone: 219-663-4007 Fax: 219-663-4198
Dr. James Simantirakis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8610
Bo Ra Nam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897
Mrs. Kamartaj S Quadri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307 Phone: 219-663-7000 Fax: 219-663-8621
Timothy James Mullally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11275 Delaware Pkwy, Crown Point, IN 46307 Phone: 219-779-8735 Fax: 877-715-2312
Dr. Cathleen Ellen Mok, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11161 Randolph St, Crown Point, IN 46307 Phone: 219-662-9424 Fax: 219-662-7465

Dr Julie Ann Derosa, MD - Medicare Family Medicine in Crown Point, IN