Dr Brenna J Derksen, MD - Medicare Emergency Medicine in Phoenix, AZ

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Dr Brenna J Derksen, MD is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Loop 101 Emergency Physicians Llc, 303 Emergency Physicians Pllc, Emcare - Pnx Emergency Physicians Llc, Honorhealth Ambulatory and her current practice location is 350 W Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-3000.

Dr Brenna J Derksen is licensed to practice in Arizona (license number 60780) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518377985.

Contact Information

Dr Brenna J Derksen, MD
350 W Thomas Rd,
Phoenix, AZ 85013-4496
(602) 406-3000
(602) 798-0944

Map and Direction




Physician's Profile

Full NameDr Brenna J Derksen
GenderFemale
SpecialityEmergency Medicine
Experience10 Years
Location350 W Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brenna J Derksen attended and graduated from University Of Arizona College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1518377985
  • Provider Enumeration Date: 05/06/2014
  • Last Update Date: 12/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759638463
  • Enrollment ID: I20210428001721

Medical Identifiers

Medical identifiers for Dr Brenna J Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518377985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 60780 (Arizona)Primary
207P00000XEmergency Medicine A140594 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John C. Lincoln North Mountain HospitalPhoenix, AZHospital
Honorhealth Deer Valley Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Loop 101 Emergency Physicians Llc084029548139
303 Emergency Physicians Pllc256769252840
Emcare - Pnx Emergency Physicians Llc377957416537
Honorhealth Ambulatory5991603110420

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. Dr Brenna J Derksen allows following entities to bill medicare on her behalf.
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NameEmcare - Pnx Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855992
PECOS PAC ID: 3779574165
Enrollment ID: O20040524000667
Entity NameLoop 101 Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376573378
PECOS PAC ID: 0840295481
Enrollment ID: O20061003000466
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449
Entity Name303 Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518398585
PECOS PAC ID: 2567692528
Enrollment ID: O20140313001083
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284
Entity NameArizona Post-acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093254419
PECOS PAC ID: 4688951239
Enrollment ID: O20170508002340
Entity NameNm Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366928749
PECOS PAC ID: 3375892060
Enrollment ID: O20200608000689
Entity NameEmpower St Josephs Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154015089
PECOS PAC ID: 2961866173
Enrollment ID: O20231222001956

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. Dr Brenna J Derksen 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 AddressPractice Location Address
Dr Brenna J Derksen, MD
Po Box 232410,
San Diego, CA 92193-2410

Ph: () -		Dr Brenna J Derksen, MD
350 W Thomas Rd,
Phoenix, AZ 85013-4496

Ph: (602) 406-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.