Glenn Hernandez Derit, APRN in Leesburg, FL - Medicare Nurse Practitioner

Glenn Hernandez Derit, APRN is a medicare enrolled "Nurse Practitioner - Family" in Leesburg, Florida. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice American Current Care Of California A Medical Corporation and his current practice location is 2201 Nicollett Way, Leesburg, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 360-8635.

Glenn Hernandez Derit is licensed to practice in Florida (license number 11010307) 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 1619571726.

Contact Information

	Glenn Hernandez Derit, APRN
	2201 Nicollett Way, Leesburg, FL 34748-2945
	(352) 360-8635
	Not Available

Map and Direction

Provider's Profile

Full Name	Glenn Hernandez Derit
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	2201 Nicollett Way, Leesburg, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glenn Hernandez Derit graduated from nursing school in 2020

NPI Data:

NPI Number: 1619571726
Provider Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020

Medicare PECOS Information:

PECOS PAC ID: 9537459284
Enrollment ID: I20240416001869

Medical Identifiers

Medical identifiers for Glenn Hernandez Derit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619571726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11010307 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Current Care Of California A Medical Corporation	5799854303	81

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. Glenn Hernandez Derit allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

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. Glenn Hernandez Derit 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
Glenn Hernandez Derit, APRN 2201 Nicollett Way, Leesburg, FL 34748-2945 Ph: (352) 360-8635	Glenn Hernandez Derit, APRN 2201 Nicollett Way, Leesburg, FL 34748-2945 Ph: (352) 360-8635

Reviews and Comments

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Glenn Hernandez Derit, APRN - Medicare Nurse Practitioner in Leesburg, FL