Sarah A Derrick, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fountain Inn, South Carolina. Her current practice location is
31 Carolina Oaks Dr, Fountain Inn, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 980-3202.
Sarah A Derrick is licensed to practice in South Carolina (license number 1958) 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 1578504924.
Provider's Profile
| Full Name | Sarah A Derrick |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 31 Carolina Oaks Dr, Fountain Inn, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578504924
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 09/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 9032127428
- Enrollment ID: I20060327000565
Medical Identifiers
Medical identifiers for Sarah A Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578504924 | NPI | - | NPPES |
| P00810359 | Other | SC | MEDICARE RAIL ROAD |
| NP0738 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1958 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1958 (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9388607 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5007132 (North Carolina) | Secondary |
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. Sarah A Derrick allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Diagnostic South Carolina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409 |
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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. Sarah A Derrick 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 |
|---|
Sarah A Derrick, FNP
31 Carolina Oaks Dr,
Fountain Inn, SC 29644-8505
Ph: (864) 980-3202 | Sarah A Derrick, FNP
31 Carolina Oaks Dr,
Fountain Inn, SC 29644-8505
Ph: (864) 980-3202 |
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