Derek Justice Jay, - Nurse Practitioner in New Bremen, OH

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Derek Justice Jay, is a Nurse Practitioner - Family based in New Bremen, Ohio. Derek Justice Jay is licensed to practice in Ohio (license number 0036746) and his current practice location is 03920 Southland Rd, New Bremen, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 629-2772.

NPI number for Derek Justice Jay is 1427819721 and his current mailing address is 830 W Main St, Coldwater, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427819721.

Contact Information

Derek Justice Jay,
03920 Southland Rd,
New Bremen, OH 45869-9790
(419) 629-2772
(419) 629-3613

Map and Direction




Provider's Profile

Full NameDerek Justice Jay
GenderMale
SpecialityNurse Practitioner - Family
Location03920 Southland Rd, New Bremen, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427819721
  • Provider Enumeration Date: 01/23/2024
  • Last Update Date: 07/22/2024

Medical Identifiers

Medical identifiers for Derek Justice Jay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427819721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0036746 (Ohio)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. Derek Justice Jay 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
Derek Justice Jay,
830 W Main St,
Coldwater, OH 45828-1626

Ph: (567) 890-7143		Derek Justice Jay,
03920 Southland Rd,
New Bremen, OH 45869-9790

Ph: (419) 629-2772

Reviews and Comments


Nurse Practitioner Nurses in New Bremen, OH

Deanna Bruggeman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    
Amanda L Sanford, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    Fax: 419-629-3613
Amanda Lynn Hurley, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    Fax: 419-629-3613

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.