Anna S Dervishi, APRN in Louisville, KY - Medicare Nurse Practitioner

Anna S Dervishi, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Thomas Medical Partners and her current practice location is 3901 Dutchmans Ln Ste 105, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 895-2334.

Anna S Dervishi is licensed to practice in Kentucky (license number 3011124) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548534647.

Contact Information

	Anna S Dervishi, APRN
	3901 Dutchmans Ln Ste 105, Louisville, KY 40207-4726
	(502) 895-2334
	(502) 896-6987

Map and Direction

Provider's Profile

Full Name	Anna S Dervishi
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	3901 Dutchmans Ln Ste 105, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Anna S Dervishi graduated from nursing school in 2011

NPI Data:

NPI Number: 1548534647
Provider Enumeration Date: 03/07/2012
Last Update Date: 04/20/2017

Medicare PECOS Information:

PECOS PAC ID: 9436319142
Enrollment ID: I20120404000144

Medical Identifiers

Medical identifiers for Anna S Dervishi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548534647	NPI	-	NPPES
1527637	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	16503 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	3011124 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Thomas West Hospital	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Thomas Medical Partners	1557269354	486

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. Anna S Dervishi allows following entities to bill medicare on her behalf.

Entity Name	Saint Thomas Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470

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. Anna S Dervishi 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
Anna S Dervishi, APRN Po Box 6337, Louisville, KY 40206-0337 Ph: (502) 895-2334	Anna S Dervishi, APRN 3901 Dutchmans Ln Ste 105, Louisville, KY 40207-4726 Ph: (502) 895-2334

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Anna S Dervishi, APRN - Medicare Nurse Practitioner in Louisville, KY