Derek Miles Anderson, NURSE PRACTITIONER in Fayetteville, GA

Derek Miles Anderson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstreet Of Georgia Pc and his current practice location is 545 Woodward Dr, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 858-8503.

Derek Miles Anderson is licensed to practice in Georgia (license number RN128292) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326659798.

Contact Information

	Derek Miles Anderson, NURSE PRACTITIONER
	545 Woodward Dr, Fayetteville, GA 30215-7641
	(678) 858-8503
	Not Available

Map and Direction

Provider's Profile

Full Name	Derek Miles Anderson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	545 Woodward Dr, Fayetteville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Miles Anderson graduated from nursing school in 2020

NPI Data:

NPI Number: 1326659798
Provider Enumeration Date: 08/11/2020
Last Update Date: 08/11/2020

Medicare PECOS Information:

PECOS PAC ID: 3971916503
Enrollment ID: I20201228002481

Medical Identifiers

Medical identifiers for Derek Miles Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326659798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN128292 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstreet Of Georgia Pc	7517126279	384

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 Miles Anderson allows following entities to bill medicare on his behalf.

Entity Name	Wellstreet Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603

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 Miles Anderson 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
Derek Miles Anderson, NURSE PRACTITIONER 545 Woodward Dr, Fayetteville, GA 30215-7641 Ph: (678) 858-8503	Derek Miles Anderson, NURSE PRACTITIONER 545 Woodward Dr, Fayetteville, GA 30215-7641 Ph: (678) 858-8503

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Derek Miles Anderson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Fayetteville, GA