Jeremy Derickson, PA-C in Mesa, AZ - Medicare Physician Assistant

Jeremy Derickson, PA-C is a medicare enrolled "Physician Assistant" in Mesa, Arizona. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bhsm Rehabilitation Llc, Brown Road Family Medicine, Pllc and his current practice location is 3720 E Pueblo Ave, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 200-3526.

Jeremy Derickson is licensed to practice in Arizona (license number ) 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 1821544503.

Contact Information

	Jeremy Derickson, PA-C
	3720 E Pueblo Ave, Mesa, AZ 85206-1821
	(928) 200-3526
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeremy Derickson
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	3720 E Pueblo Ave, Mesa, Arizona
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:

Jeremy Derickson attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2016

NPI Data:

NPI Number: 1821544503
Provider Enumeration Date: 08/31/2016
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 6406134014
Enrollment ID: I20161102002479

Medical Identifiers

Medical identifiers for Jeremy Derickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821544503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bhsm Rehabilitation Llc	2062773138	1355
Brown Road Family Medicine, Pllc	5395781769	7

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. Jeremy Derickson 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
Jeremy Derickson, PA-C 2310 E Brown Rd, Mesa, AZ 85213-5226 Ph: (480) 649-9000	Jeremy Derickson, PA-C 3720 E Pueblo Ave, Mesa, AZ 85206-1821 Ph: (928) 200-3526

Reviews and Comments

Physician Assistant Nurses in Mesa, AZ

Bikramjit Gill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7233 E Baseline Rd Ste 126, Mesa, AZ 85209 Phone: 480-699-2222 Fax: 480-699-3033
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Jeremy Derickson, PA-C - Medicare Physician Assistant in Mesa, AZ