Derek Joseph Fiedler, is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Orange, California. His current practice location is
101 The City Dr S, Orange, California. You can reach out to his office (for appointments etc.) via phone at
(714) 456-8888.
Derek Joseph Fiedler is licensed to practice in California (license number 95001930) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205391620.
Physician's Profile
Full Name | Derek Joseph Fiedler |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 101 The City Dr S, Orange, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205391620
- Provider Enumeration Date: 02/11/2019
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890170195
- Enrollment ID: I20220922003452
Medical Identifiers
Medical identifiers for Derek Joseph Fiedler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205391620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 209018750 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001930 (California) | 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. Derek Joseph Fiedler allows following entities to bill medicare on his behalf.
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
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Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
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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 Joseph Fiedler 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 Joseph Fiedler, 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-8888 | Derek Joseph Fiedler, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8888 |
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