Dr Trevor John Derderian, MD - Medicare Vascular Surgery in Rancho Mirage, CA

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Dr Trevor John Derderian, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rancho Mirage, California. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Desert Vein And Vascular Institute Professional Corporation, Desert Vein And Vascular Institute and his current practice location is 71780 San Jacinto Dr Bldg I, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 568-3461.

Dr Trevor John Derderian is licensed to practice in California (license number 148584) 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 1124346697.

Contact Information

Dr Trevor John Derderian, MD
71780 San Jacinto Dr Bldg I,
Rancho Mirage, CA 92270-5516
(760) 568-3461
Not Available

Map and Direction




Physician's Profile

Full NameDr Trevor John Derderian
GenderMale
SpecialityVascular Surgery
Experience14 Years
Location71780 San Jacinto Dr Bldg I, Rancho Mirage, 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 Trevor John Derderian graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1124346697
  • Provider Enumeration Date: 05/09/2010
  • Last Update Date: 03/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264748623
  • Enrollment ID: I20170717001933

Medical Identifiers

Medical identifiers for Dr Trevor John Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124346697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 148584 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eisenhower Medical CenterRancho mirage, CAHospital
Desert Regional Medical CenterPalm springs, CAHospital
John F Kennedy Memorial HospitalIndio, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desert Vein And Vascular Institute Professional Corporation19517327597
Desert Vein And Vascular Institute46888983983

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 Trevor John Derderian allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameDesert Vein And Vascular Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821415142
PECOS PAC ID: 4688898398
Enrollment ID: O20140620000315
Entity NameDesert Vein & Vascular Institute Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821415142
PECOS PAC ID: 1951732759
Enrollment ID: O20200512000499
Entity NameDesert Vein & Vascular Institute Asc Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780311548
PECOS PAC ID: 1052787314
Enrollment ID: O20221012001293

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 Trevor John 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 AddressPractice Location Address
Dr Trevor John Derderian, MD
71780 San Jacinto Dr, Bldg. I,
Rancho Mirage, CA 92270-5516

Ph: (760) 568-3461		Dr Trevor John Derderian, MD
71780 San Jacinto Dr Bldg I,
Rancho Mirage, CA 92270-5516

Ph: (760) 568-3461

Reviews and Comments


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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).

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