Jerry Michael Mccormick, MD in Brooklyn Center, MN - Dermatology

Jerry Michael Mccormick, MD is a Dermatology physician based in Brooklyn Center, Minnesota. Jerry Michael Mccormick is licensed to practice in Minnesota (license number 29706) and his current practice location is 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 569-0300.

NPI number for Jerry Michael Mccormick is 1811962616 and his current mailing address is 6845 Lee Ave N, 31400a, Brooklyn Center, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811962616.

Contact Information

	Jerry Michael Mccormick, MD
	6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429-1717
	(763) 569-0300
	(763) 569-0311

Physician's Profile

Full Name	Jerry Michael Mccormick
Gender	Male
Speciality	Dermatology
Location	6845 Lee Ave N, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1811962616
Provider Enumeration Date: 02/23/2006
Last Update Date: 08/20/2008

Medical Identifiers

Medical identifiers for Jerry Michael Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811962616	NPI	-	NPPES
158380800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	29706 (Minnesota)	Primary
207N00000X	Dermatology	24722 (Wisconsin)	Secondary

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. Jerry Michael Mccormick 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
Jerry Michael Mccormick, MD 6845 Lee Ave N, 31400a, Brooklyn Center, MN 55429-1717 Ph: (763) 503-4395	Jerry Michael Mccormick, MD 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429-1717 Ph: (763) 569-0300

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Jerry Michael Mccormick, MD - Dermatology in Brooklyn Center, MN