Derral Edward Hawthorne, PA-C - Medicare Physician Assistant in Gold Beach, OR

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Derral Edward Hawthorne, PA-C is a medicare enrolled "Physician Assistant" in Gold Beach, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Bend Medical Center Inc and his current practice location is 94180 2nd St, Gold Beach, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 247-7047.

Derral Edward Hawthorne is licensed to practice in Oregon (license number PA191287) 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 1295169001.

Contact Information

Derral Edward Hawthorne, PA-C
94180 2nd St,
Gold Beach, OR 97444-8733
(541) 247-7047
(541) 247-0123

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Provider's Profile

Full NameDerral Edward Hawthorne
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location94180 2nd St, Gold Beach, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derral Edward Hawthorne graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1295169001
  • Provider Enumeration Date: 08/28/2013
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153557897
  • Enrollment ID: I20190214002740

Medical Identifiers

Medical identifiers for Derral Edward Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295169001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5484 (Arizona)Secondary
363A00000XPhysician Assistant PA191287 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coastal Home Health & HospiceBrookings, ORHome health agency
Curry General HospitalGold beach, ORHospital
Bay Area HospitalCoos bay, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Bend Medical Center Inc559767771679

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. Derral Edward Hawthorne 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 AddressPractice Location Address
Derral Edward Hawthorne, PA-C
94180 2nd St,
Gold Beach, OR 97444-8733

Ph: (541) 247-7047		Derral Edward Hawthorne, PA-C
94180 2nd St,
Gold Beach, OR 97444-8733

Ph: (541) 247-7047

Reviews and Comments


Physician Assistant Nurses in Gold Beach, OR

Jennifer M Dengler, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 94244 4th Street, Gold Beach, OR 97444
Phone: 541-247-3510    Fax: 541-247-3530
Tamara Tuttle, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 94180 2nd St, Gold Beach, OR 97444
Phone: 541-247-7047    Fax: 541-247-0123

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.