Dr Theresa M Derickson, MD in West Chester, OH

Dr Theresa M Derickson, MD is a medicare enrolled "Pediatrics" physician in West Chester, Ohio. Her current practice location is 8040 Princeton-glendale Rd., West Chester, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 872-2000.

Dr Theresa M Derickson is licensed to practice in Ohio (license number 35088598) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639260169.

Contact Information

	Dr Theresa M Derickson, MD
	8040 Princeton-glendale Rd., West Chester, OH 45069-0000
	(513) 872-2000
	(513) 281-8842

Map and Direction

Physician's Profile

Full Name	Dr Theresa M Derickson
Gender	Female
Speciality	Pediatrics
Location	8040 Princeton-glendale Rd., West Chester, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639260169
Provider Enumeration Date: 09/28/2006
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 3072815992
Enrollment ID: I20160111000285

Medical Identifiers

Medical identifiers for Dr Theresa M Derickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639260169	NPI	-	NPPES
2704836	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35088598 (Ohio)	Primary

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 Theresa M Derickson allows following entities to bill medicare on her behalf.

Entity Name	Trihealth G Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358

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 Theresa M Derickson 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 Theresa M Derickson, MD 4685 Forest Ave Ste C, Cincinnati, OH 45212-3359 Ph: (513) 246-7796	Dr Theresa M Derickson, MD 8040 Princeton-glendale Rd., West Chester, OH 45069-0000 Ph: (513) 872-2000

Reviews and Comments

Pediatrics Doctors in West Chester, OH

Robert Mathew Wolterman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7700 University Ct, Ste 2700, West Chester, OH 45069 Phone: 513-475-7452 Fax: 513-475-7453
Arthur J. Moebius, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7665 Monarch Ct, Suite 104/105, West Chester, OH 45069 Phone: 513-779-4006 Fax: 513-779-7018
Antonia Teodora Kopp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8752 Union Centre Blvd, West Chester, OH 45069 Phone: 513-682-5400
Dr. Nafeh Fananapazir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8040 Princeton Glendale Rd, West Chester, OH 45069 Phone: 513-246-7000 Fax: 513-246-5484
Kyle A Kaufman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7690 Discovery Dr, West Chester, OH 45069 Phone: 513-475-7425 Fax: 513-475-7453
Dr. John Bacon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8040 Princeton-glendale Rd, West Chester, OH 45069 Phone: 513-246-7000 Fax: 513-246-5479
Shahin F. Shareef, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7665 Monarch Ct, Suite 104/105, West Chester, OH 45069 Phone: 513-779-4006 Fax: 513-779-7018

Dr Theresa M Derickson, MD - Medicare Pediatrics in West Chester, OH