Haskell Ray Derryberry, FNP in Granbury, TX - Medicare Nurse Practitioner

Haskell Ray Derryberry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Granbury, Texas. His current practice location is 1322 Paluxy Rd, Suite #2, Granbury, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 579-1642.

Haskell Ray Derryberry is licensed to practice in Texas (license number 582138) 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 1093755704.

Contact Information

	Haskell Ray Derryberry, FNP
	1322 Paluxy Rd, Suite #2, Granbury, TX 76048-5603
	(817) 579-1642
	(817) 579-9926

Map and Direction

Provider's Profile

Full Name	Haskell Ray Derryberry
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1322 Paluxy Rd, Granbury, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093755704
Provider Enumeration Date: 06/08/2006
Last Update Date: 06/19/2008

Medicare PECOS Information:

PECOS PAC ID: 2860475431
Enrollment ID: I20040612000640

Medical Identifiers

Medical identifiers for Haskell Ray Derryberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093755704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	582138 (Texas)	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. Haskell Ray Derryberry allows following entities to bill medicare on his behalf.

Entity Name	Yukon-kuskokwim Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515

Entity Name	Integrative Emergency Services Physician Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932

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. Haskell Ray Derryberry 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
Haskell Ray Derryberry, FNP 1322 Paluxy Rd, Suite 2, Granbury, TX 76048-5603 Ph: (817) 579-1642	Haskell Ray Derryberry, FNP 1322 Paluxy Rd, Suite #2, Granbury, TX 76048-5603 Ph: (817) 579-1642

Reviews and Comments

Nurse Practitioner Nurses in Granbury, TX

Ashton Renee Long, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Davis Rd, Granbury, TX 76049 Phone: 254-485-8062 Fax: 866-300-8682
Debra Lynn Shearon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Pecan Arbor Ct, Granbury, TX 76049 Phone: 817-578-1667
Monica D Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310b Paluxy Road, Suite 3000, Granbury, TX 76048 Phone: 817-579-3978 Fax: 817-579-3977
Alexandra Timmons, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688
Kimberly Marie Winter, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 E Us Highway 377 Ste 100, Granbury, TX 76049 Phone: 817-573-1380
Kolean Crawford, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 Paluxy Rd Ste 303, Granbury, TX 76048 Phone: 817-579-3948
Martha Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 E Us Highway 377 Ste 100, Granbury, TX 76049 Phone: 817-573-1380 Fax: 817-573-1381

Haskell Ray Derryberry, FNP - Medicare Nurse Practitioner in Granbury, TX