Dereck Pettiford, CRNA - Medicare Nurse Anesthetist, Certified Registered in Ocala, FL

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Dereck Pettiford, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ocala, Florida. His current practice location is 3330 Sw 33rd Rd, Ocala, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 873-9311.

Dereck Pettiford is licensed to practice in Florida (license number 3280462) 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 1972677367.

Contact Information

Dereck Pettiford, CRNA
3330 Sw 33rd Rd,
Ocala, FL 34474-7458
(352) 873-9311
Not Available

Map and Direction




Provider's Profile

Full NameDereck Pettiford
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3330 Sw 33rd Rd, Ocala, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972677367
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739120700
  • Enrollment ID: I20050519000731

Medical Identifiers

Medical identifiers for Dereck Pettiford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972677367NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3280462 (Florida)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. Dereck Pettiford allows following entities to bill medicare on his behalf.
Entity NameOcala Endoscopy Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386693240
PECOS PAC ID: 6305745936
Enrollment ID: O20040102000627
Entity NameNature Coast Anesthesia Providers Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578557104
PECOS PAC ID: 2163471723
Enrollment ID: O20050120000852
Entity NameCitrus Gastroenterology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407853195
PECOS PAC ID: 4284654187
Enrollment ID: O20051206000651
Entity NameAnesthesia Associates Of Ocala Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808287
PECOS PAC ID: 1254657349
Enrollment ID: O20150309001113
Entity NameAms National Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316330830
PECOS PAC ID: 3870813025
Enrollment ID: O20150529000613
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033
Entity NameCrystal River Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437718392
PECOS PAC ID: 1951639715
Enrollment ID: O20190819001462
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NameSolace Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962046151
PECOS PAC ID: 3072945476
Enrollment ID: O20191122000303
Entity NameLaser And Outpatient Surgery Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457965832
PECOS PAC ID: 7315945979
Enrollment ID: O20200922000823

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. Dereck Pettiford 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
Dereck Pettiford, CRNA
8235 Sw 72nd Pl,
Gainesville, FL 32608-8425

Ph: (352) 380-2724		Dereck Pettiford, CRNA
3330 Sw 33rd Rd,
Ocala, FL 34474-7458

Ph: (352) 873-9311

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ocala, FL

Steven Joseph Fowler, CRNA,MS
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3241 Sw 34th St, Ocala, FL 34474
Phone: 352-237-5906    Fax: 352-237-8758
Catherine Lenore Wohletz Hicks,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471
Phone: 352-351-7200    
Christopher L. Hazen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1511 Sw 1st Ave, Ocala, FL 34474
Phone: 352-867-0516    Fax: 352-867-5076
Matthew Carnevale, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3309 Sw 34th Cir, Ste 101, Ocala, FL 34474
Phone: 352-237-0509    
Amanda K Waters, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3309 Sw 34th Cir, Suite 101, Ocala, FL 34474
Phone: 352-237-0509    Fax: 352-237-9808
Claudio Andres Medero Torres, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471
Phone: 352-401-1000    
Joshua Cliff Phillips, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Sw 33rd Rd, Ocala, FL 34474
Phone: 352-873-9311    Fax: 352-873-9652

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.