Donna Lynn Derose, APN in Crystal Lake, IL - Medicare Nurse Practitioner

Donna Lynn Derose, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crystal Lake, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main St Psychiatry Sc and her current practice location is 145 S Virginia St, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 444-9999.

Donna Lynn Derose is licensed to practice in Illinois (license number 209015563) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285168120.

Contact Information

	Donna Lynn Derose, APN
	145 S Virginia St, Crystal Lake, IL 60014-7226
	(815) 444-9999
	Not Available

Map and Direction

Provider's Profile

Full Name	Donna Lynn Derose
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	145 S Virginia St, Crystal Lake, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Donna Lynn Derose graduated from nursing school in 2016

NPI Data:

NPI Number: 1285168120
Provider Enumeration Date: 04/18/2017
Last Update Date: 04/18/2017

Medicare PECOS Information:

PECOS PAC ID: 7416234505
Enrollment ID: I20170427000134

Medical Identifiers

Medical identifiers for Donna Lynn Derose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285168120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209015563 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main St Psychiatry Sc	0648535013	4

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. Donna Lynn Derose allows following entities to bill medicare on her behalf.

Entity Name	Main St Psychiatry Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346756491 PECOS PAC ID: 0648535013 Enrollment ID: O20180606000720

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. Donna Lynn Derose 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
Donna Lynn Derose, APN 8802 Reese Rd, Harvard, IL 60033-9125 Ph: (815) 600-6979	Donna Lynn Derose, APN 145 S Virginia St, Crystal Lake, IL 60014-7226 Ph: (815) 444-9999

Reviews and Comments

Nurse Practitioner Nurses in Crystal Lake, IL

Sandra Jaeschke, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-455-8044
Mrs. Jenna T Winsko, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr, Suite 120, Crystal Lake, IL 60014 Phone: 815-477-8900 Fax: 815-477-7160
Mrs. Shannon Harrison Malone, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 442 N Illinois Rte 31, Crystal Lake, IL 60012 Phone: 224-238-3211
Katherine A Galias, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 815-459-6655 Fax: 847-658-9922
Ashley Wallen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Northwest Hwy, Crystal Lake, IL 60014 Phone: 866-825-3227
Jessica Barrera, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500
Erin Williams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1305 Randall Rd, Crystal Lake, IL 60014 Phone: 815-356-0386

Donna Lynn Derose, APN - Medicare Nurse Practitioner in Crystal Lake, IL