Ms Jeannette R Derita, ARNP - Medicare Nurse Practitioner in Port Orange, FL

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Ms Jeannette R Derita, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Port Orange, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Town Center Medical Services Llc, Urgent Care Center Of Port Orange Llc and her current practice location is 1690 Dunlawton Ave Ste 120, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 449-9650.

Ms Jeannette R Derita is licensed to practice in Florida (license number APRN11009651) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528666575.

Contact Information

Ms Jeannette R Derita, ARNP
1690 Dunlawton Ave Ste 120,
Port Orange, FL 32127-8980
(386) 449-9650
Not Available

Map and Direction




Provider's Profile

Full NameMs Jeannette R Derita
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1690 Dunlawton Ave Ste 120, Port Orange, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jeannette R Derita graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1528666575
  • Provider Enumeration Date: 10/13/2020
  • Last Update Date: 12/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668883414
  • Enrollment ID: I20201130001201

Medical Identifiers

Medical identifiers for Ms Jeannette R Derita such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528666575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11009651 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Town Center Medical Services Llc17595175683
Urgent Care Center Of Port Orange Llc58907128068

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. Ms Jeannette R Derita allows following entities to bill medicare on her behalf.
Entity NameAcv Community Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174630693
PECOS PAC ID: 3476462078
Enrollment ID: O20040402000091
Entity NameUrgent Care Center Of Port Orange Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891905378
PECOS PAC ID: 5890712806
Enrollment ID: O20051028000823
Entity NameTown Center Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427498724
PECOS PAC ID: 1759517568
Enrollment ID: O20131127001400

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. Ms Jeannette R Derita 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
Ms Jeannette R Derita, ARNP
1690 Dunlawton Ave Ste 120,
Port Orange, FL 32127-8980

Ph: () -		Ms Jeannette R Derita, ARNP
1690 Dunlawton Ave Ste 120,
Port Orange, FL 32127-8980

Ph: (386) 449-9650

Reviews and Comments


Nurse Practitioner Nurses in Port Orange, FL

Holly Anne Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 870 Dunlawton Ave Ste 210a, Port Orange, FL 32127
Phone: 386-518-3671    
Olivia Michelle Miller, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127
Phone: 386-271-2273    Fax: 386-271-2274
Lynn Ann Howard, ARNP, PMHNP, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 804 Dunlawton Ave, Port Orange, FL 32127
Phone: 386-767-8584    Fax: 386-767-8536
Jay W Butwinick, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127
Phone: 386-320-3299    
Margaret M. Thompson, A.R.N.P., M.S.N
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 735 Dunlawton Ave, Port Orange, FL 32127
Phone: 888-808-0488    Fax: 386-872-4232
Kelly S Kiah, D.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129
Phone: 386-322-4752    
Ms. Margaret Leger Ramstad, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1648 Taylor Rd Ste 259, Port Orange, FL 32128
Phone: 386-320-5525    Fax: 386-222-7395

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.