J Derek Brederson, FNP - Medicare Nurse Practitioner in Port Byron, NY

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J Derek Brederson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Port Byron, New York. His current practice location is 60 Main St, Port Byron, New York. You can reach out to his office (for appointments etc.) via phone at (315) 776-9700.

J Derek Brederson is licensed to practice in New York (license number 336768) 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 1790063162.

Contact Information

J Derek Brederson, FNP
60 Main St,
Port Byron, NY 13140-0359
(315) 776-9700
(315) 776-9701

Map and Direction




Provider's Profile

Full NameJ Derek Brederson
GenderMale
SpecialityNurse Practitioner - Family
Location60 Main St, Port Byron, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790063162
  • Provider Enumeration Date: 08/02/2011
  • Last Update Date: 02/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5890921431
  • Enrollment ID: I20131204000337

Medical Identifiers

Medical identifiers for J Derek Brederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790063162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 336768 (New York)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. J Derek Brederson allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameAnthony L. Jordan Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649529678
PECOS PAC ID: 8729079785
Enrollment ID: O20040519001335
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

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. J Derek Brederson 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 AddressPractice Location Address
J Derek Brederson, FNP
14 Maiden Ln,
Penn Yan, NY 14527-1208

Ph: (315) 531-9102		J Derek Brederson, FNP
60 Main St,
Port Byron, NY 13140-0359

Ph: (315) 776-9700

Reviews and Comments


Nurse Practitioner Nurses in Port Byron, NY

Meghan E Hutchings, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 60 Main St, Port Byron, NY 13140
Phone: 315-776-9700    Fax: 315-776-9701
Mrs. Christine Ann Matijas, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 60 Main Street, Port Byron, NY 13140
Phone: 315-776-9700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.