Derek Jason Sisk, APRN - Medicare Nurse Practitioner in Sarasota, FL

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Derek Jason Sisk, APRN is a medicare enrolled "Nurse Practitioner" in Sarasota, Florida. His current practice location is 3554 65th Avenue Cir E, Sarasota, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 250-4279.

Derek Jason Sisk is licensed to practice in Florida (license number 11008173) 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 1003428707.

Contact Information

Derek Jason Sisk, APRN
3554 65th Avenue Cir E,
Sarasota, FL 34243-4116
(941) 250-4279
Not Available

Map and Direction




Provider's Profile

Full NameDerek Jason Sisk
GenderMale
SpecialityNurse Practitioner
Location3554 65th Avenue Cir E, Sarasota, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003428707
  • Provider Enumeration Date: 08/24/2020
  • Last Update Date: 08/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688080310
  • Enrollment ID: I20210304000762

Medical Identifiers

Medical identifiers for Derek Jason Sisk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003428707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11008173 (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. Derek Jason Sisk allows following entities to bill medicare on his behalf.
Entity NameBradenton East Integrative Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396922183
PECOS PAC ID: 5092885087
Enrollment ID: O20080603000233
Entity NameTruepartners Manatee Emergency Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497307201
PECOS PAC ID: 9830420819
Enrollment ID: O20191004001633
Entity NameEm Alliance Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922788959
PECOS PAC ID: 4789039058
Enrollment ID: O20231006002499

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. Derek Jason Sisk 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
Derek Jason Sisk, APRN
3554 65th Avenue Cir E,
Sarasota, FL 34243-4116

Ph: (941) 250-4279		Derek Jason Sisk, APRN
3554 65th Avenue Cir E,
Sarasota, FL 34243-4116

Ph: (941) 250-4279

Reviews and Comments


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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.