Mr Derrick Wayne Scoggins, APRN - Medicare Nurse Practitioner in Bowling Green, KY

Mr Derrick Wayne Scoggins, APRN is a medicare enrolled "Nurse Practitioner" in Bowling Green, Kentucky. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Emergency Physicians Llc, Gilbert Barbee Moore And Mcilvoy Psc and his current practice location is 201 Park St, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 783-3362.

Mr Derrick Wayne Scoggins is licensed to practice in Kentucky (license number 3016140) 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 1053980540.

Contact Information

Mr Derrick Wayne Scoggins, APRN
201 Park St,
Bowling Green, KY 42101-1708
(270) 783-3362
(270) 780-0472

Map and Direction




Provider's Profile

Full NameMr Derrick Wayne Scoggins
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location201 Park St, Bowling Green, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derrick Wayne Scoggins graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1053980540
  • Provider Enumeration Date: 06/21/2021
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911302872
  • Enrollment ID: I20210816003971

Medical Identifiers

Medical identifiers for Mr Derrick Wayne Scoggins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053980540NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3016140 (Kentucky)Primary
363LF0000XNurse Practitioner - Family 3016140 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jennie Stuart Medical CenterHopkinsville, KYHospital
The Medical Center (bowling Green)Bowling green, KYHospital
Monroe County Medical CenterTompkinsville, KYHospital
The Medical Center At ScottsvilleScottsville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516
Gilbert Barbee Moore And Mcilvoy Psc4082511167228

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. Mr Derrick Wayne Scoggins allows following entities to bill medicare on his behalf.
Entity NameGilbert Barbee Moore & Mcilvoy Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114948288
PECOS PAC ID: 4082511167
Enrollment ID: O20031217000136
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285

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. Mr Derrick Wayne Scoggins 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
Mr Derrick Wayne Scoggins, APRN
201 Park St,
Bowling Green, KY 42101-1708

Ph: (270) 781-5111
Mr Derrick Wayne Scoggins, APRN
201 Park St,
Bowling Green, KY 42101-1708

Ph: (270) 783-3362

Reviews and Comments


Nurse Practitioner Nurses in Bowling Green, KY

Marcia Atherton, APRN FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1048 Ashley St Ste 103a, Bowling Green, KY 42103
Phone: 270-599-0958    
Mrs. Kamala Mechelle Brooks, NP
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Practice Location: 1777 Ashley Cir, Bowling Green, KY 42104
Phone: 270-781-4090    
Paula Devore, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 165 Natchez Trace Ave Ste 205, Bowling Green, KY 42103
Phone: 270-745-7246    Fax: 270-282-2027
Mrs. Demara Andrea Goodrich, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1225 Fairway St, Bowling Green, KY 42103
Phone: 270-781-3910    
Mrs. Shellie D Hardcastle, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 250 Park St, Bowling Green, KY 42101
Phone: 270-745-1808    Fax: 270-796-5516
Louise Elizabeth Webb, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Park St, Bowling Green, KY 42101
Phone: 270-781-5111    
Dawn Garrett -wright,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Park Street Ste 204, Psychiatric Associates, Bowling Green, KY 42101
Phone: 270-843-5103    

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.