Lauren Derstine, CRNA - Medicare Anesthesiologist Assistant in Jacksonville, FL

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Lauren Derstine, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Jacksonville, Florida. Her current practice location is 800 Prudential Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-2000.

Lauren Derstine is licensed to practice in Florida (license number AA834) 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 1609559848.

Contact Information

Lauren Derstine, CRNA
800 Prudential Dr,
Jacksonville, FL 32207-8211
(904) 202-2000
Not Available

Map and Direction




Provider's Profile

Full NameLauren Derstine
GenderFemale
SpecialityAnesthesiologist Assistant
Location800 Prudential Dr, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609559848
  • Provider Enumeration Date: 08/14/2023
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577918218
  • Enrollment ID: I20231016001828

Medical Identifiers

Medical identifiers for Lauren Derstine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609559848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant AA834 (Florida)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. Lauren Derstine allows following entities to bill medicare on her behalf.
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594

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. Lauren Derstine 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
Lauren Derstine, CRNA
4825 Trawler Ct,
Jacksonville, FL 32225-4038

Ph: (904) 521-7300		Lauren Derstine, CRNA
800 Prudential Dr,
Jacksonville, FL 32207-8211

Ph: (904) 202-2000

Reviews and Comments


Anesthesiologist Assistant Nurses in Jacksonville, FL

Alyssa Kay Burgo,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Prudential Dr, Jacksonville, FL 32207
Phone: 904-202-2000    
Haley Wingo, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Prudential Dr, Jacksonville, FL 32207
Phone: 904-202-8000    
Mr. Kyle Matthew Hillis, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 820 Prudential Dr Ste 606, Jacksonville, FL 32207
Phone: 904-398-3356    
April Jennifer Harris Still, AAC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-3660    
Benjamin Olson Dickey, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 800 Prudential Dr, Jacksonville, FL 32207
Phone: 904-202-2000    
Olga B Carroll, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 655 W 8th St, Jacksonville, FL 32209
Phone: 904-244-0411    
William James Morgan,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 800 Prudential Dr, Jacksonville, FL 32207
Phone: 904-202-2000    

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.