Derik Tyler Gotay, DNAP in Gainesville, FL - Medicare Nurse Anesthetist, Certified Registered

Derik Tyler Gotay, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gainesville, Florida. His current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 273-8610.

Derik Tyler Gotay is licensed to practice in Florida (license number APRN11026133) 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 1124715149.

Contact Information

	Derik Tyler Gotay, DNAP
	1600 Sw Archer Rd, Gainesville, FL 32610-4009
	(352) 273-8610
	Not Available

Map and Direction

Provider's Profile

Full Name	Derik Tyler Gotay
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124715149
Provider Enumeration Date: 04/19/2023
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2062873243
Enrollment ID: I20230803003929

Medical Identifiers

Medical identifiers for Derik Tyler Gotay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124715149	NPI	-	NPPES
120382200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	11026133 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11026133 (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. Derik Tyler Gotay allows following entities to bill medicare on his behalf.

Entity Name	The Mary Lanning Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356656417 PECOS PAC ID: 4587575550 Enrollment ID: O20101007000817

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. Derik Tyler Gotay 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
Derik Tyler Gotay, DNAP 325 Redwing Way, Casselberry, FL 32707-4009 Ph: (407) 453-1319	Derik Tyler Gotay, DNAP 1600 Sw Archer Rd, Gainesville, FL 32610-4009 Ph: (352) 273-8610

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gainesville, FL

William Craig Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438
Henry Fontillas Patalinghug, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438
Mrs. Victoria Chyvone Mejia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 352-333-4000
Mr. Robert M Clonan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361
Patricia Marie Petzold, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 800-642-1999 Fax: 248-646-0361
Robert Michael Guillot, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-8012
Phyllis Mccarty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605 Phone: 352-333-4180 Fax: 352-333-4861

Derik Tyler Gotay, DNAP - Medicare Nurse Anesthetist, Certified Registered in Gainesville, FL