David Derrick, CRNA - Medicare Nurse Anesthetist, Certified Registered in Memphis, TN

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David Derrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. His current practice location is 1755 Kirby Pkwy, Ste 330, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 725-5846.

David Derrick is licensed to practice in Tennessee (license number 133243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962649582.

Contact Information

David Derrick, CRNA
1755 Kirby Pkwy, Ste 330,
Memphis, TN 38120
(901) 725-5846
(901) 726-4827

Map and Direction




Provider's Profile

Full NameDavid Derrick
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1755 Kirby Pkwy, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962649582
  • Provider Enumeration Date: 01/20/2009
  • Last Update Date: 01/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0749345932
  • Enrollment ID: I20120827000068

Medical Identifiers

Medical identifiers for David Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962649582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 133243 (Tennessee)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. David Derrick allows following entities to bill medicare on his behalf.
Entity NameBaptist Memorial Hospital North Mississippi, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053375576
PECOS PAC ID: 9335057181
Enrollment ID: O20040416000311
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277
Entity NameEast Memphis Anesthesia Services Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578592663
PECOS PAC ID: 1850386038
Enrollment ID: O20210301001988

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. David Derrick 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
David Derrick, CRNA
Po Box 171306,
Memphis, TN 38187

Ph: (800) 809-2106		David Derrick, CRNA
1755 Kirby Pkwy, Ste 330,
Memphis, TN 38120

Ph: (901) 725-5846

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA
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Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119
Phone: 901-682-2872    
Michael Fisher, CRNA
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Practice Location: 1265 Union Ave, Memphis, TN 38104
Phone: 901-725-5846    
Jessica Doran, DNP, CRNA
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Practice Location: 877 Jefferson Ave, Memphis, TN 38103
Phone: 901-448-5893    Fax: 901-448-5893
Carman Hamm, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827
Kathleen B Weiman, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120
Phone: 901-685-6150    Fax: 901-685-6454
Janet Laughlin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6485 Poplar Ave, Memphis, TN 38119
Phone: 901-767-4014    
Jennifer Williams, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827

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.