Bailey Dervin, FNP in Omaha, NE - Medicare Nurse Practitioner

Bailey Dervin, FNP is a medicare enrolled "Nurse Practitioner" in Omaha, Nebraska. Her current practice location is 17201 Wright St Ste 200, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 334-4773.

Bailey Dervin is licensed to practice in Nebraska (license number 115191) 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 1043077274.

Contact Information

	Bailey Dervin, FNP
	17201 Wright St Ste 200, Omaha, NE 68130-2042
	(402) 334-4773
	(402) 330-7463

Map and Direction

Provider's Profile

Full Name	Bailey Dervin
Gender	Female
Speciality	Nurse Practitioner
Location	17201 Wright St Ste 200, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043077274
Provider Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4183064579
Enrollment ID: I20240502001300

Medical Identifiers

Medical identifiers for Bailey Dervin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043077274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	115191 (Nebraska)	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. Bailey Dervin allows following entities to bill medicare on her behalf.

Entity Name	Oncology Hematology West, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932178530 PECOS PAC ID: 8426030024 Enrollment ID: O20040607000705

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. Bailey Dervin 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
Bailey Dervin, FNP 17201 Wright St Ste 200, Omaha, NE 68130-2042 Ph: (402) 334-4773	Bailey Dervin, FNP 17201 Wright St Ste 200, Omaha, NE 68130-2042 Ph: (402) 334-4773

Reviews and Comments

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Bailey Dervin, FNP - Medicare Nurse Practitioner in Omaha, NE