Mr Trevor Deraney, PA-C in Buffalo, NY - Medicare Physician Assistant

Mr Trevor Deraney, PA-C is a medicare enrolled "Physician Assistant" in Buffalo, New York. His current practice location is 237 Linwood Ave, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 248-1420.

Mr Trevor Deraney is licensed to practice in Florida (license number PA 9104519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700055068.

Contact Information

	Mr Trevor Deraney, PA-C
	237 Linwood Ave, Buffalo, NY 14209-2009
	(716) 248-1420
	(716) 248-2026

Map and Direction

Provider's Profile

Full Name	Mr Trevor Deraney
Gender	Male
Speciality	Physician Assistant
Location	237 Linwood Ave, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700055068
Provider Enumeration Date: 02/20/2008
Last Update Date: 03/15/2019

Medicare PECOS Information:

PECOS PAC ID: 1850532060
Enrollment ID: I20130731000571

Medical Identifiers

Medical identifiers for Mr Trevor Deraney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700055068	NPI	-	NPPES
020626400	Medicaid	FL
03217214	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	022142 (New York)	Secondary
363A00000X	Physician Assistant	PA 9104519 (Florida)	Primary

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 Trevor Deraney 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
Mr Trevor Deraney, PA-C Po Box 488, Buffalo, NY 14240-0488 Ph: (203) 944-1940	Mr Trevor Deraney, PA-C 237 Linwood Ave, Buffalo, NY 14209-2009 Ph: (716) 248-1420

Reviews and Comments

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Mr Trevor Deraney, PA-C - Medicare Physician Assistant in Buffalo, NY