Jack O Derks, MD - Family Medicine in Holland, MI

Jack O Derks, MD is a Family Medicine physician based in Holland, Michigan. Jack O Derks is licensed to practice in Michigan (license number 4301028907) and his current practice location is 601 Michigan Ave Ste 104, Holland, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 392-2361.

NPI number for Jack O Derks is 1134144413 and his current mailing address is 601 Michigan Ave Ste 104, Holland, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134144413.

Contact Information

Jack O Derks, MD
601 Michigan Ave Ste 104,
Holland, MI 49423-4951
(616) 392-2361
(616) 392-2364



Physician's Profile

Full NameJack O Derks
GenderMale
SpecialityFamily Medicine
Location601 Michigan Ave Ste 104, Holland, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134144413
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 12/11/2007

Medical Identifiers

Medical identifiers for Jack O Derks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134144413NPI-NPPES
080G047000OtherBLUE CROSS BLUE SHIELD
101138661MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301028907 (Michigan)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. Jack O Derks 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 AddressPractice Location Address
Jack O Derks, MD
601 Michigan Ave Ste 104,
Holland, MI 49423-4951

Ph: (616) 392-2361
Jack O Derks, MD
601 Michigan Ave Ste 104,
Holland, MI 49423-4951

Ph: (616) 392-2361

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› Verified 2 days ago


Family Medicine Doctors in Holland, MI

Shaena Freeman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1061 Washington Ave, Holland, MI 49423
Phone: 616-393-8100    Fax: 877-451-0226
Jessica White, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 602 Michigan Ave, Holland, MI 49423
Phone: 616-546-4950    Fax: 616-546-4955
Mark Norval Folkening, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Lakeview Ave, Holland, MI 49424
Phone: 616-502-7144    Fax: 616-786-0185
William Barry Bonzelaar, M.D.032354
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423
Phone: 616-392-8035    Fax: 616-392-7404
Jon W Kroeze, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 382 N 120th Ave, Holland, MI 49424
Phone: 616-396-6516    Fax: 616-396-2513
Dan F Kreuzer, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 383 Garden Ave, Holland, MI 49424
Phone: 616-494-8271    Fax: 616-494-8273
Christopher Lee Wedeven, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Van Ommen Dr, Holland, MI 49424
Phone: 616-399-4946    

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