Dr Derek Walter Nickerson, MD - Medicare Dermatology in Vista, CA

  1. Home
  2. Dermatology
  3. CA
  4. Vista
Dr Derek Walter Nickerson, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Vista, California. He went to New York Medical College and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Grossmont Dermatology Medical Clinic, Csi Medical Group and his current practice location is 1934 Via Ctr Ste B, Vista, California. You can reach out to his office (for appointments etc.) via phone at (760) 295-2299.

Dr Derek Walter Nickerson is licensed to practice in California (license number A171167) 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 1265895619.

Contact Information

Dr Derek Walter Nickerson, MD
1934 Via Ctr Ste B,
Vista, CA 92081-6056
(760) 295-2299
(760) 216-5300

Map and Direction




Physician's Profile

Full NameDr Derek Walter Nickerson
GenderMale
SpecialityDermatology
Experience8 Years
Location1934 Via Ctr Ste B, Vista, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek Walter Nickerson attended and graduated from New York Medical College in 2016
  NPI Data:
  • NPI Number: 1265895619
  • Provider Enumeration Date: 04/02/2016
  • Last Update Date: 06/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072888494
  • Enrollment ID: I20210712000833

Medical Identifiers

Medical identifiers for Dr Derek Walter Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265895619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A171167 (California)Secondary
207N00000XDermatology LL41017 (South Carolina)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery A171167 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grossmont Dermatology Medical Clinic498167234210
Csi Medical Group5890916845100

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 Derek Walter Nickerson allows following entities to bill medicare on his behalf.
Entity NameGrossmont Dermatology Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194838441
PECOS PAC ID: 4981672342
Enrollment ID: O20040922001271
Entity NameCsi Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930
Entity NameCoastal Skin And Eye Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790232015
PECOS PAC ID: 8224326715
Enrollment ID: O20161017001429

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 Derek Walter Nickerson 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 Derek Walter Nickerson, MD
6399 San Ignacio Ave Ste 120,
San Jose, CA 95119-1215

Ph: (408) 369-5620		Dr Derek Walter Nickerson, MD
1934 Via Ctr Ste B,
Vista, CA 92081-6056

Ph: (760) 295-2299

Reviews and Comments


Dermatology Doctors in Vista, CA

Dr. Heidi Byers Busch, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 906 Sycamore Ave Ste 100, Vista, CA 92081
Phone: 760-249-7007    Fax: 858-550-0676
Dr. Johannah Valentine, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1934 Via Ctr, Vista, CA 92081
Phone: 760-295-2299    
Dr. Vu H. Nguyen, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2395 S Melrose Dr, Vista, CA 92081
Phone: 760-216-5313    Fax: 760-216-5300
Rishu Gupta, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2023 W Vista Way Ste D, Vista, CA 92083
Phone: 858-357-7033    

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.