Anastasia Deroussel, NP - Medicare Nurse Practitioner in Wagoner, OK

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Anastasia Deroussel, NP is a medicare enrolled "Nurse Practitioner - Family" in Wagoner, Oklahoma. Her current practice location is 1202 W Cherokee St Ste G, Wagoner, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 914-5533.

Anastasia Deroussel is licensed to practice in Oklahoma (license number R0129494) 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 1548793631.

Contact Information

Anastasia Deroussel, NP
1202 W Cherokee St Ste G,
Wagoner, OK 74467-4629
(918) 914-5533
(918) 485-6020

Map and Direction




Provider's Profile

Full NameAnastasia Deroussel
GenderFemale
SpecialityNurse Practitioner - Family
Location1202 W Cherokee St Ste G, Wagoner, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548793631
  • Provider Enumeration Date: 04/06/2017
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385981042
  • Enrollment ID: I20190204001260

Medical Identifiers

Medical identifiers for Anastasia Deroussel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548793631NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 727314-1 (New York)Secondary
363LF0000XNurse Practitioner - Family F341382-1 (New York)Secondary
363LG0600XNurse Practitioner - Gerontology R0129494 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family R0129494 (Oklahoma)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. Anastasia Deroussel allows following entities to bill medicare on her behalf.
Entity NameAdair County Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972780765
PECOS PAC ID: 9638065907
Enrollment ID: O20040224000664
Entity NameWagoner Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386611580
PECOS PAC ID: 0042217531
Enrollment ID: O20061214000095
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20180326002260
Entity NameTulsa Hospital Medicine Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144982711
PECOS PAC ID: 7214327832
Enrollment ID: O20211214000389
Entity NameHospitalist Medicine Physicians Of Texas - Corpus Christi, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477199677
PECOS PAC ID: 9133540008
Enrollment ID: O20240124002908

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. Anastasia Deroussel 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
Anastasia Deroussel, NP
1200 W Cherokee St,
Wagoner, OK 74467-4624

Ph: (918) 485-5514		Anastasia Deroussel, NP
1202 W Cherokee St Ste G,
Wagoner, OK 74467-4629

Ph: (918) 914-5533

Reviews and Comments


Nurse Practitioner Nurses in Wagoner, OK

Tabatha Truelove, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W Cherokee St, Wagoner, OK 74467
Phone: 210-685-2532    
Virginia D Lindsey, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 212 N Pierce Ave, Wagoner, OK 74467
Phone: 918-485-3022    Fax: 918-425-2799
Ernest Kaara Maina, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1103 W Cherokee St, Wagoner, OK 74467
Phone: 918-509-4440    Fax: 918-509-4467
Hazel Louise Reel, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1317 S Dewey Ave, Wagoner, OK 74467
Phone: 918-485-9696    Fax: 918-485-1701
Taylor Renee Russell,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1202 W Cherokee St Ste E, Wagoner, OK 74467
Phone: 918-485-1877    
Juliette Kross, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1520 Sw 1st St, Wagoner, OK 74467
Phone: 918-727-2790    
Mrs. Rose Marie Mcmahan, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27546 E 705 Rd, Wagoner, OK 74467
Phone: 918-485-6107    Fax: 918-485-6106

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.