Derrick Schutrum, is a medicare enrolled "Family Medicine" in Depew, New York. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southgate Medical Group Llp and his current practice location is
4893 Transit Rd, Depew, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 608-7040.
Derrick Schutrum is licensed to practice in New York (license number 024885) 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 1295350940.
Provider's Profile
| Full Name | Derrick Schutrum |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 4893 Transit Rd, Depew, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derrick Schutrum graduated from nursing school in 2019
NPI Data:
- NPI Number: 1295350940
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729402227
- Enrollment ID: I20200716002256
Medical Identifiers
Medical identifiers for Derrick Schutrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295350940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (New York) | Secondary |
| 207Q00000X | Family Medicine | 024885 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southgate Medical Group Llp | 7911810189 | 30 |
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 Schutrum 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 Schutrum,
1961 Bush Rd,
Grand Island, NY 14072-2915
Ph: (716) 936-4334 | Derrick Schutrum,
4893 Transit Rd,
Depew, NY 14043-4698
Ph: (716) 608-7040 |
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