Mrs Angela M Derrick, DPT - Medicare Physical Therapist in Carrollton, IL

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Mrs Angela M Derrick, DPT is a medicare enrolled "Physical Therapist" provider in Carrollton, Illinois. Her current practice location is 800 School St, Carrollton, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 942-6946.

Mrs Angela M Derrick is licensed to practice in Illinois (license number 070018073) 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 1093775447.

Contact Information

Mrs Angela M Derrick, DPT
800 School St,
Carrollton, IL 62016-1436
(217) 942-6946
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Angela M Derrick
GenderFemale
SpecialityPhysical Therapist
Location800 School St, Carrollton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093775447
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 08/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5597137851
  • Enrollment ID: I20230214002735

Medical Identifiers

Medical identifiers for Mrs Angela M Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093775447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist NM2654 (New Mexico)Secondary
225100000XPhysical Therapist 070018073 (Illinois)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. Mrs Angela M Derrick allows following entities to bill medicare on her behalf.
Provider NameImove Telept, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1548896442
PECOS PAC ID: 0244661544
Enrollment ID: O20210323000185
Provider NameBooher Health Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1215620380
PECOS PAC ID: 8820459423
Enrollment ID: O20230728003061

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 Angela M 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 AddressPractice Location Address
Mrs Angela M Derrick, DPT
402 Minard St,
Jerseyville, IL 62052-2630

Ph: (575) 312-4439		Mrs Angela M Derrick, DPT
800 School St,
Carrollton, IL 62016-1436

Ph: (217) 942-6946

Reviews and Comments


Physical Therapist in Carrollton, IL

Ken Gray, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 800 School St, Carrollton, IL 62016
Phone: 217-942-6946    Fax: 217-942-9349
Miss Abby Leigh Baalman, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 314 5th St, Carrollton, IL 62016
Phone: 217-409-6405    Fax: 217-305-7282
Morgan Stein, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 314 5th St, Carrollton, IL 62016
Phone: 217-324-8780    

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.