Paul J Derden, MD in Johnson City, TN - Medicare Family Medicine

Paul J Derden, MD is a medicare enrolled "Family Medicine" physician in Johnson City, Tennessee. His current practice location is 403 Princeton Rd Ste 10, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-7340.

Paul J Derden is licensed to practice in Virginia (license number 0101036190) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780655613.

Contact Information

	Paul J Derden, MD
	403 Princeton Rd Ste 10, Johnson City, TN 37601-2062
	(423) 431-7340
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul J Derden
Gender	Male
Speciality	Family Medicine
Location	403 Princeton Rd Ste 10, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780655613
Provider Enumeration Date: 01/30/2006
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7012979370
Enrollment ID: I20041028001065

Medical Identifiers

Medical identifiers for Paul J Derden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780655613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101036190 (Virginia)	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. Paul J Derden allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

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. Paul J Derden 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
Paul J Derden, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565	Paul J Derden, MD 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 Ph: (423) 431-7340

Reviews and Comments

Family Medicine Doctors in Johnson City, TN

Dr. Paula Renee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604 Phone: 423-431-1810 Fax: 423-431-1811
David T Deroos, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601 Phone: 704-658-8727
Dr. Clinton Steve Webb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
Dr. Nazia Iqbal Shehzad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060
Chelsy L Elkins, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1009 Novus Dr Ste 1a, Johnson City, TN 37604 Phone: 423-282-2516
Janice B. Schweitzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604 Phone: 423-282-0751 Fax: 423-282-1577
Jim L Wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118

Paul J Derden, MD - Medicare Family Medicine in Johnson City, TN