Mr. Phillip T Deturk

NP | Nurse Practitioner | 18+ years Exp

Accepts Medicare Nurse Practitioner in West Lafayette, Indiana.
Mr. Phillip T Deturk is a West Lafayette, Indiana based nurse practitioner with 18 years of experience in . He completed his graduation in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Phillip T Deturk is 71002161A in Indiana. His current practice location is 124 Sagamore Pkwy West, West Lafayette. Patients can reach him at 765-463-6722 or can fax him at 765-463-0905. Mr. Phillip T Deturk is NP and his NPI number (Unique professional ID assigned by NPPES) is 1275626095.
Mr. Phillip T Deturk has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Mr. Phillip T Deturk speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Phillip T Deturk
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP
Experience: 18+ years
Medical School Attended:Other
Graduation Year:2006
Accepts Medicare Assignment:Yes
Practice Address:124 Sagamore Pkwy West, West Lafayette,
Indiana, 47906
Phone:765-463-6722
Fax:765-463-0905
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4082785704
Enrollment ID: I20080624000018
NPI Number: 1275626095
NPI Enumeration Date: 02 Oct, 2006
NPI Last Update On: 07 Mar, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Phillip T Deturk are as mentioned below.
License NumberSpecializationStateStatus
71002161A IndianaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Phillip T Deturk is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Randall Dermatology, Pc (3678675329)10
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Phillip T Deturk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
71002161BOtherIndianaAPN CSR REFERENCE
71002161AOtherIndianaNURSE PRACTITIONER AUTHOR
28153076AOtherIndianaREGISTERED NURSE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Phillip T Deturk
124 Sagamore Pkwy West,
West Lafayette, Indiana
Zip: 47906
Phone Number: 765-463-6722
Fax Number: 765-463-0905
Patients can reach Mr. Phillip T Deturk at 124 Sagamore Pkwy West, West Lafayette, Indiana or can call to book an appointment on 765-463-6722.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.