Mrs Tina Faith Derr, PA-C in Dayton, WA - Medicare Physician Assistant

Mrs Tina Faith Derr, PA-C is a medicare enrolled "Physician Assistant" in Dayton, Washington. Her current practice location is 1012 South Third Street, Columbia Family Clinic, Dayton, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 382-3200.

Mrs Tina Faith Derr is licensed to practice in Washington (license number PA60426271) 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 1093797961.

Contact Information

	Mrs Tina Faith Derr, PA-C
	1012 South Third Street, Columbia Family Clinic, Dayton, WA 99328
	(509) 382-3200
	(509) 382-2748

Map and Direction

Provider's Profile

Full Name	Mrs Tina Faith Derr
Gender	Female
Speciality	Physician Assistant
Location	1012 South Third Street, Dayton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093797961
Provider Enumeration Date: 11/16/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6305897042
Enrollment ID: I20140205000500

Medical Identifiers

Medical identifiers for Mrs Tina Faith Derr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093797961	NPI	-	NPPES
PA2004-0030	Other	NM	PA LICENSE
83320253	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA2004-0030 (New Mexico)	Secondary
363A00000X	Physician Assistant	PA60426271 (Washington)	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. Mrs Tina Faith Derr 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
Mrs Tina Faith Derr, PA-C 1012 South Third Street, Dayton, WA 99328 Ph: (509) 382-2531	Mrs Tina Faith Derr, PA-C 1012 South Third Street, Columbia Family Clinic, Dayton, WA 99328 Ph: (509) 382-3200

Reviews and Comments

Physician Assistant Nurses in Dayton, WA

Kim Irene Emery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 South Third Street, Dayton, WA 99328 Phone: 253-333-9000
Danny L Mingus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1012 South Third Street, Dayton, WA 99328 Phone: 509-382-3200 Fax: 509-382-2748

Mrs Tina Faith Derr, PA-C - Medicare Physician Assistant in Dayton, WA