Anthony Derral Phillips, RN, BSN - Registered Nurse in Jacksonville, OR

Anthony Derral Phillips, RN, BSN is a Registered Nurse based in Jacksonville, Oregon. Anthony Derral Phillips is licensed to practice in Oregon (license number 099006484RN) and his current practice location is 300 China Gulch Rd, Jacksonville, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 899-4911.

NPI number for Anthony Derral Phillips is 1245475813 and his current mailing address is 300 China Gulch Rd, Jacksonville, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245475813.

Contact Information

Anthony Derral Phillips, RN, BSN
300 China Gulch Rd,
Jacksonville, OR 97530-9744
(541) 899-4911
(541) 899-4911

Map and Direction




Provider's Profile

Full NameAnthony Derral Phillips
GenderMale
SpecialityRegistered Nurse
Location300 China Gulch Rd, Jacksonville, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245475813
  • Provider Enumeration Date: 12/10/2008
  • Last Update Date: 12/10/2008

Medical Identifiers

Medical identifiers for Anthony Derral Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245475813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0200XRegistered Nurse - Oncology 099006484RN (Oregon)Secondary
163W00000XRegistered Nurse 099006484RN (Oregon)Primary

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. Anthony Derral Phillips is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anthony Derral Phillips, RN, BSN
300 China Gulch Rd,
Jacksonville, OR 97530-9744

Ph: (541) 899-4911
Anthony Derral Phillips, RN, BSN
300 China Gulch Rd,
Jacksonville, OR 97530-9744

Ph: (541) 899-4911

Reviews and Comments


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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.

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