Derrick Fian, in Van Nuys, CA - Medicare Nurse Practitioner

Derrick Fian, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Van Nuys, California. His current practice location is 14433 Emelita St, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at (805) 816-7211.

Derrick Fian is licensed to practice in California (license number 95026269) 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 1417734658.

Contact Information

	Derrick Fian,
	14433 Emelita St, Van Nuys, CA 91401-4213
	(805) 816-7211
	Not Available

Map and Direction

Provider's Profile

Full Name	Derrick Fian
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	14433 Emelita St, Van Nuys, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417734658
Provider Enumeration Date: 09/12/2023
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8820449432
Enrollment ID: I20240108006246

Medical Identifiers

Medical identifiers for Derrick Fian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417734658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95026269 (California)	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. Derrick Fian allows following entities to bill medicare on his behalf.

Entity Name	California Care Wellness Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732

Entity Name	Myndfull Care Management California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310

Entity Name	Geri Connection
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861

Entity Name	Myndfull Care California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912699703 PECOS PAC ID: 1557717238 Enrollment ID: O20231101001710

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. Derrick Fian 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
Derrick Fian, 14433 Emelita St, Van Nuys, CA 91401-4213 Ph: () -	Derrick Fian, 14433 Emelita St, Van Nuys, CA 91401-4213 Ph: (805) 816-7211

Reviews and Comments

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Derrick Fian, - Medicare Nurse Practitioner in Van Nuys, CA