Dr Marvin J Derrick, MD - Medicare Cardiac Surgery in Urbana, IL

Dr Marvin J Derrick, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Urbana, Illinois. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Osf Multi-specialty Group and his current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 904-7000.

Dr Marvin J Derrick is licensed to practice in Illinois (license number 036123699) 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 1497855886.

Contact Information

Dr Marvin J Derrick, MD
611 W Park St,
Urbana, IL 61801-2529
(217) 904-7000
(217) 904-7748

Map and Direction




Physician's Profile

Full NameDr Marvin J Derrick
GenderMale
SpecialityCardiac Surgery
Experience43 Years
Location611 W Park St, Urbana, Illinois
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 Marvin J Derrick graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1497855886
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 10/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062421399
  • Enrollment ID: I20090622000020

Medical Identifiers

Medical identifiers for Dr Marvin J Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497855886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) G47855 (California)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036123699 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Saint Anthony Medical CenterRockford, ILHospital
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552

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 Marvin J Derrick allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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 Marvin J Derrick 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 Marvin J Derrick, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: () -
Dr Marvin J Derrick, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 904-7000

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Urbana, IL

Hillary Danenberger, NP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
William G Pyle, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-904-7000    Fax: 217-904-7748
Dr. Ira Mark Lebenson, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 307 W Indiana Ave, Urbana, IL 61801
Phone: 217-367-1985    
Dr. Frank J Lutrin, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 1405 W Park St, Suite 303, Urbana, IL 61801
Phone: 217-337-2924    Fax: 217-337-2703
Dr. Ahmed Mohammad Khan, D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-904-7000    

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.