Derek Adrian Andelloux, MD is a medicare enrolled "Family Medicine" physician in E Greenwich, Rhode Island. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Nantucket Cottage Hospital and his current practice location is
3461 S County Trl, E Greenwich, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 471-6760.
Derek Adrian Andelloux is licensed to practice in Rhode Island (license number LP01566) 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 1013145275.
Physician's Profile
| Full Name | Derek Adrian Andelloux |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 3461 S County Trl, E Greenwich, Rhode Island |
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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. |
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Medical Education and Training:
- Derek Adrian Andelloux graduated from medical school in 2009
NPI Data:
- NPI Number: 1013145275
- Provider Enumeration Date: 06/26/2009
- Last Update Date: 12/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 0244488823
- Enrollment ID: I20180418001055
Medical Identifiers
Medical identifiers for Derek Adrian Andelloux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013145275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | LP01566 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nantucket Cottage Hospital | 1759357601 | 63 |
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 Adrian Andelloux allows following entities to bill medicare on his behalf.
| Entity Name | Nantucket Cottage Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447214622
PECOS PAC ID: 1759357601
Enrollment ID: O20050104000928 |
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| Entity Name | Nantucket Physicians Organization |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568798510
PECOS PAC ID: 6608065438
Enrollment ID: O20110111000016 |
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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 Adrian Andelloux 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 |
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Derek Adrian Andelloux, MD
3461 S County Trl,
E Greenwich, RI 02818-1465
Ph: (401) 471-6760 | Derek Adrian Andelloux, MD
3461 S County Trl,
E Greenwich, RI 02818-1465
Ph: (401) 471-6760 |
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