Dr Marie Lynne Deruyter, MD in Jacksonville, FL

Dr Marie Lynne Deruyter, MD is a medicare enrolled "Anesthesiology" physician in Jacksonville, Florida. She went to Creighton University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Mayo Clinic - Florida and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Dr Marie Lynne Deruyter is licensed to practice in Florida (license number ME62548) 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 1164419453.

Contact Information

	Dr Marie Lynne Deruyter, MD
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marie Lynne Deruyter
Gender	Female
Speciality	Anesthesiology
Experience	30 Years
Location	4500 San Pablo Rd S, Jacksonville, Florida
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:

Dr Marie Lynne Deruyter attended and graduated from Creighton University School Of Medicine in 1994

NPI Data:

NPI Number: 1164419453
Provider Enumeration Date: 10/01/2005
Last Update Date: 09/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7214970557
Enrollment ID: I20050607000935

Medical Identifiers

Medical identifiers for Dr Marie Lynne Deruyter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164419453	NPI	-	NPPES
25484	Other	FL	BLUECROSS/BLUESHIELD
261226700	Medicaid	FL
050030329	Other	FL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	ME62548 (Florida)	Secondary
207L00000X	Anesthesiology	ME62548 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mayo Clinic Florida	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic - Florida	5698689297	1328

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 Marie Lynne Deruyter allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388

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 Marie Lynne Deruyter 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
Dr Marie Lynne Deruyter, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000	Dr Marie Lynne Deruyter, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Anesthesiology Doctors in Jacksonville, FL

Dr. Matthew Duwain Warrick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-4195 Fax: 904-244-4908
Dr. Andrea V Rivero, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd, Jacksonville, FL 32224 Phone: 904-953-2000
Jared Paul Knecht, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Peter Louis Kovacs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-421-2119
Sarah G Bodin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207 Phone: 904-387-4030
David Mcenerney Jr., DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 555 West 8th Street, 2nd Floor Pavilion, Jacksonville, FL 32209 Phone: 904-383-1020
M. Elizabeth B Perry, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr, Suite 606, Jacksonville, FL 32207 Phone: 904-398-3356 Fax: 904-398-5397

Dr Marie Lynne Deruyter, MD - Medicare Anesthesiology in Jacksonville, FL