Kristin M Derderian, DO in Farmington Hills, MI

Kristin M Derderian, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Farmington Hills, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Beaumont Medical Group- Specialty Services and her current practice location is 28080 Grand River Ave Ste 306, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (947) 521-8314.

Kristin M Derderian is licensed to practice in Michigan (license number 5101013350) 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 1376624130.

Contact Information

	Kristin M Derderian, DO
	28080 Grand River Ave Ste 306, Farmington Hills, MI 48336-5966
	(947) 521-8314
	(248) 478-8864

Map and Direction

Physician's Profile

Full Name	Kristin M Derderian
Gender	Female
Speciality	Infectious Disease
Experience	27 Years
Location	28080 Grand River Ave Ste 306, Farmington Hills, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin M Derderian attended and graduated from Michigan State University College Of Osteopathic Medicine in 1997

NPI Data:

NPI Number: 1376624130
Provider Enumeration Date: 10/18/2006
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 2860595428
Enrollment ID: I20070320000318

Medical Identifiers

Medical identifiers for Kristin M Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376624130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	5101013350 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group- Specialty Services	7214299866	781

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. Kristin M Derderian allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Kristin M 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
Kristin M Derderian, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1862	Kristin M Derderian, DO 28080 Grand River Ave Ste 306, Farmington Hills, MI 48336-5966 Ph: (947) 521-8314

Reviews and Comments

Internal Medicine Doctors in Farmington Hills, MI

Kali Allis, Infectious Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000
Dr. Jyothsna Yalavarthi, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254
Dr. Roberto Mauro Gamarra, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500
Dr. Jared Grodman, DO Infectious Disease Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220
Justin Cykiert, Infectious Disease Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777
Larry A Wickless, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350
Alabbas Alaamili, DO Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000

Kristin M Derderian, DO - Medicare Infectious Disease in Farmington Hills, MI