Robert John Derby, NP - Medicare Nurse Practitioner in Beloit, WI

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Robert John Derby, NP is a medicare enrolled "Nurse Practitioner" in Beloit, Wisconsin. His current practice location is Beloit Clinic, 1905 E Huebbe Parkway, Beloit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 364-1640.

Robert John Derby is licensed to practice in Wisconsin (license number 11369-33) 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 1104593060.

Contact Information

Robert John Derby, NP
Beloit Clinic, 1905 E Huebbe Parkway,
Beloit, WI 53511-1842
(608) 364-1640
(608) 363-7393

Map and Direction




Provider's Profile

Full NameRobert John Derby
GenderMale
SpecialityNurse Practitioner
LocationBeloit Clinic, Beloit, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104593060
  • Provider Enumeration Date: 08/26/2021
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183004989
  • Enrollment ID: I20231207002676

Medical Identifiers

Medical identifiers for Robert John Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104593060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209024153 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 11369-33 (Wisconsin)Secondary
363L00000XNurse Practitioner 11369-33 (Wisconsin)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. Robert John Derby allows following entities to bill medicare on his behalf.
Entity NameBeloit Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841485984
PECOS PAC ID: 8224947858
Enrollment ID: O20080204000702

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. Robert John Derby 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
Robert John Derby, NP
Beloit Health Systems Inc, 1969 W Hart Road,
Beloit, WI 53511-2230

Ph: (608) 364-2293		Robert John Derby, NP
Beloit Clinic, 1905 E Huebbe Parkway,
Beloit, WI 53511-1842

Ph: (608) 364-1640

Reviews and Comments


Nurse Practitioner Nurses in Beloit, WI

Madelene G. Hamann, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E Huebbe Pkwy, 1905 E. Huebbe Parkway, Beloit, WI 53511
Phone: 608-364-2240    Fax: 608-363-7374
Cynthia L Philpott, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511
Phone: 608-364-2400    Fax: 608-363-7389
Malissa R Wightman, RN, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Prairie Ave, Beloit, WI 53511
Phone: 608-363-5500    
Ms. Cindy I Damon, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E Huebbe Pkwy, Beloit Health System Inc, Beloit, WI 53511
Phone: 608-364-2200    Fax: 608-363-7395
Christina Hughes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 E Huebbe Pkwy, Beloit, WI 53511
Phone: 608-363-2240    Fax: 608-364-7374
Mrs. Tammy Jo Boxleitner, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1969 West Hart Road, Beloit Memorial Hospital, Inc., Beloit, WI 53511
Phone: 608-364-5011    

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.