Courtney Kowalczyk Derderian, MD in Dallas, TX

Courtney Kowalczyk Derderian, MD is a medicare enrolled "Anesthesiology" physician in Dallas, Texas. Her current practice location is 1935 Medical District Dr, Department Of Anesthesiology, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 456-6393.

Courtney Kowalczyk Derderian is licensed to practice in Texas (license number P2708) 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 1699978346.

Contact Information

	Courtney Kowalczyk Derderian, MD
	1935 Medical District Dr, Department Of Anesthesiology, Dallas, TX 75235-7701
	(214) 456-6393
	(214) 456-7232

Map and Direction

Physician's Profile

Full Name	Courtney Kowalczyk Derderian
Gender	Female
Speciality	Anesthesiology
Location	1935 Medical District Dr, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699978346
Provider Enumeration Date: 06/08/2007
Last Update Date: 11/25/2015

Medicare PECOS Information:

PECOS PAC ID: 9830346154
Enrollment ID: I20120821000978

Medical Identifiers

Medical identifiers for Courtney Kowalczyk Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699978346	NPI	-	NPPES
3054389 01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	P2708 (Texas)	Secondary
207L00000X	Anesthesiology	P2708 (Texas)	Primary

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. Courtney Kowalczyk Derderian allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiologists For Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700837408 PECOS PAC ID: 7911990965 Enrollment ID: O20040406000266

Entity Name	Dallas Physician Medical Services For Children Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673

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. Courtney Kowalczyk Derderian 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
Courtney Kowalczyk Derderian, MD 1935 Medical District Dr, Department Of Anesthesiology, Dallas, TX 75235-7701 Ph: (214) 456-6393	Courtney Kowalczyk Derderian, MD 1935 Medical District Dr, Department Of Anesthesiology, Dallas, TX 75235-7701 Ph: (214) 456-6393

Reviews and Comments

Anesthesiology Doctors in Dallas, TX

Lee M. Lunsford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-8000
Dr. Stephanie C Jones, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-9374
Dr. Alfredo Ruben Lopez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Dr. Elvis Tsang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Dr. Christopher D Lecheminant, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000
Dr. Mihir N Rane, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 N Hall St Ste 800, Dallas, TX 75219 Phone: 214-252-3500
Lisa Gu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-6400

Courtney Kowalczyk Derderian, MD - Medicare Anesthesiology in Dallas, TX