Jennifer E Deraad, APRN in Fort Collins, CO - Medicare Nurse Practitioner

Jennifer E Deraad, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Collins, Colorado. Her current practice location is 1136 E Stuart St Ste 202, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 829-1129.

Jennifer E Deraad is licensed to practice in Colorado (license number APN0995434) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063793289.

Contact Information

	Jennifer E Deraad, APRN
	1136 E Stuart St Ste 202, Fort Collins, CO 80525-1195
	(970) 829-1129
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer E Deraad
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1136 E Stuart St Ste 202, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063793289
Provider Enumeration Date: 09/01/2011
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 4981876000
Enrollment ID: I20111015000053

Medical Identifiers

Medical identifiers for Jennifer E Deraad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063793289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12614-NP (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APN0995434 (Colorado)	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. Jennifer E Deraad allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Jennifer E Deraad 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
Jennifer E Deraad, APRN 1136 E Stuart St Ste 202, Fort Collins, CO 80525-1195 Ph: (970) 829-1129	Jennifer E Deraad, APRN 1136 E Stuart St Ste 202, Fort Collins, CO 80525-1195 Ph: (970) 829-1129

Reviews and Comments

Nurse Practitioner Nurses in Fort Collins, CO

Casey Marie Weller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753
Meghan Elizabeth Vertovec, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Blue Spruce Dr, Fort Collins, CO 80524 Phone: 970-498-6807
Coreen Herron, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St Ste 4101, Fort Collins, CO 80525 Phone: 970-670-0913
Ms. Joyce C Honea, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260
Katy Pfiffner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2014 Caribou Dr, Fort Collins, CO 80525 Phone: 970-221-1681
Ms. Lindsay A Bell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794
Mrs. Nancy Marie Reges, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Bighorn Rd, Fort Collins, CO 80525 Phone: 970-229-9800 Fax: 970-229-1421

Jennifer E Deraad, APRN - Medicare Nurse Practitioner in Fort Collins, CO