Derek Lawrence Gavin, AUD is a medicare enrolled "Audiologist" provider in Riverview, Florida. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Ent And Allergy Associates Of Florida, Llc and his current practice location is
13015 Summerfield Square Dr, Riverview, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 879-8045.
Derek Lawrence Gavin is licensed to practice in Florida (license number AY 2034) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821446501.
Healthcare Provider's Profile
Full Name | Derek Lawrence Gavin |
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Gender | Male |
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Speciality | Qualified Audiologist |
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Experience | 8 Years |
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Location | 13015 Summerfield Square Dr, Riverview, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Derek Lawrence Gavin graduated from medical school in 2016
NPI Data:
- NPI Number: 1821446501
- Provider Enumeration Date: 06/02/2016
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779862958
- Enrollment ID: I20161110001045
Medical Identifiers
Medical identifiers for Derek Lawrence Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821446501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AY 2034 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ent And Allergy Associates Of Florida, Llc | 0042292849 | 193 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Lawrence Gavin allows following entities to bill medicare on his behalf.
Provider Name | Ent And Allergy Associates Of Florida, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
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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. Derek Lawrence Gavin 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 |
Derek Lawrence Gavin, AUD 13015 Summerfield Square Dr, Riverview, FL 33578-7402 Ph: (813) 879-8045 | Derek Lawrence Gavin, AUD 13015 Summerfield Square Dr, Riverview, FL 33578-7402 Ph: (813) 879-8045 |
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