Susan Kay Derrickson, NP-BC - Medicare Family Medicine in Goshen, IN

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Susan Kay Derrickson, NP-BC is a medicare enrolled "Family Medicine" physician in Goshen, Indiana. Her current practice location is 213 Middlebury St, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 534-3300.

Susan Kay Derrickson is licensed to practice in Indiana (license number 71014637A) 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 1104691153.

Contact Information

Susan Kay Derrickson, NP-BC
213 Middlebury St,
Goshen, IN 46528-2956
(574) 534-3300
Not Available

Map and Direction




Physician's Profile

Full NameSusan Kay Derrickson
GenderFemale
SpecialityFamily Medicine
Location213 Middlebury St, Goshen, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104691153
  • Provider Enumeration Date: 11/20/2023
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739611237
  • Enrollment ID: I20241022000191

Medical Identifiers

Medical identifiers for Susan Kay Derrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104691153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 71014637A (Indiana)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. Susan Kay Derrickson allows following entities to bill medicare on her behalf.
Entity NameMaple City Health Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033166095
PECOS PAC ID: 2163569401
Enrollment ID: O20110615000145

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. Susan Kay Derrickson 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
Susan Kay Derrickson, NP-BC
2024 Maplehurst Ave,
Mishawaka, IN 46545-7006

Ph: (574) 302-1640		Susan Kay Derrickson, NP-BC
213 Middlebury St,
Goshen, IN 46528-2956

Ph: (574) 534-3300

Reviews and Comments


Family Medicine Doctors in Goshen, IN

Frank Louis Piaskowy, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2120 Rieth Blvd, Ste C, Goshen, IN 46526
Phone: 574-875-4914    
Dr. Christina Haimes, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Goshen, IN 46526
Phone: 574-533-7600    Fax: 574-533-7666
Dr. Jeffrey A. Eck, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2824 Elkhart Rd, Goshen, IN 46526
Phone: 574-535-1700    Fax: 574-535-1799
Jingpin Li, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Goshen, IN 46526
Phone: 574-533-7600    Fax: 574-364-7666
Dr. Laura E Munkel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2120 Rieth Blvd, Suite A, Goshen, IN 46526
Phone: 574-875-5126    Fax: 574-875-1874
Dr. Brian D. King, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2014 S Main St, Suite B, Goshen, IN 46526
Phone: 574-533-8639    Fax: 574-534-9542

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.