Karis Deroos, RN is a medicare enrolled "Advanced Practice Midwife" in Grantville, Pennsylvania. Her current practice location is
74 Harrison School Rd, Grantville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(850) 447-4687.
Karis Deroos is licensed to practice in Pennsylvania (license number SP025979) 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 1184369076.
Provider's Profile
Full Name | Karis Deroos |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 74 Harrison School Rd, Grantville, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184369076
- Provider Enumeration Date: 05/04/2022
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517338346
- Enrollment ID: I20230113001595
Medical Identifiers
Medical identifiers for Karis Deroos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184369076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 710269 (Pennsylvania) | Secondary |
367A00000X | Advanced Practice Midwife | SP025979 (Pennsylvania) | 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. Karis Deroos allows following entities to bill medicare on her behalf.
Entity Name | Pinnacle Health Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
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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. Karis Deroos 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 |
Karis Deroos, RN 74 Harrison School Rd, Grantville, PA 17028-8222 Ph: (850) 447-4687 | Karis Deroos, RN 74 Harrison School Rd, Grantville, PA 17028-8222 Ph: (850) 447-4687 |
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