Derin Colvin, in Phoenix, AZ - Medicare Nurse Practitioner

Derin Colvin, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 4545 E Chandler Blvd Ste 308, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 626-7584.

Derin Colvin is licensed to practice in Arizona (license number 231751) 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 1346989944.

Contact Information

	Derin Colvin,
	4545 E Chandler Blvd Ste 308, Phoenix, AZ 85048-7646
	(480) 626-7584
	Not Available

Map and Direction

Provider's Profile

Full Name	Derin Colvin
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4545 E Chandler Blvd Ste 308, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346989944
Provider Enumeration Date: 06/01/2022
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 7719367341
Enrollment ID: I20220629001231

Medical Identifiers

Medical identifiers for Derin Colvin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346989944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	231751 (Arizona)	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. Derin Colvin allows following entities to bill medicare on his behalf.

Entity Name	Serenity Tms Centers, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710492095 PECOS PAC ID: 0840550596 Enrollment ID: O20180129001252

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. Derin Colvin 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
Derin Colvin, 3300 N Triumph Blvd Ste 500, Lehi, UT 84043-6475 Ph: () -	Derin Colvin, 4545 E Chandler Blvd Ste 308, Phoenix, AZ 85048-7646 Ph: (480) 626-7584

Reviews and Comments

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Derin Colvin, - Medicare Nurse Practitioner in Phoenix, AZ