Derick Mensah, CRNP in San Diego, CA - Medicare Nurse Practitioner

Derick Mensah, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in San Diego, California. His current practice location is 7675 Mission Valley Rd, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (443) 417-7906.

Derick Mensah is licensed to practice in Virginia (license number 002418816) 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 1144081613.

Contact Information

	Derick Mensah, CRNP
	7675 Mission Valley Rd, San Diego, CA 92108-4429
	(443) 417-7906
	Not Available

Map and Direction

Provider's Profile

Full Name	Derick Mensah
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	7675 Mission Valley Rd, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144081613
Provider Enumeration Date: 01/22/2024
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 3476999517
Enrollment ID: I20240311003566

Medical Identifiers

Medical identifiers for Derick Mensah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144081613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95027897 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	002418816 (Virginia)	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. Derick Mensah allows following entities to bill medicare on his behalf.

Entity Name	Lifebridge Orthopedic Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841696697 PECOS PAC ID: 4082928098 Enrollment ID: O20150805006658

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. Derick Mensah 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
Derick Mensah, CRNP 7675 Mission Valley Rd, San Diego, CA 92108-4429 Ph: (443) 417-7906	Derick Mensah, CRNP 7675 Mission Valley Rd, San Diego, CA 92108-4429 Ph: (443) 417-7906

Reviews and Comments

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Derick Mensah, CRNP - Medicare Nurse Practitioner in San Diego, CA