Mrs Jennifer Lee Derham, DPT in Arlington, WA - Medicare Physical Therapist Provider

Mrs Jennifer Lee Derham, DPT is a medicare enrolled "Physical Therapist" provider in Arlington, Washington. Her current practice location is 7728 204th St. Ne, #a, Arlington, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 403-8250.

Mrs Jennifer Lee Derham is licensed to practice in Washington (license number PT00010288) 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 1720124357.

Contact Information

	Mrs Jennifer Lee Derham, DPT
	7728 204th St. Ne, #a, Arlington, WA 98223
	(360) 403-8250
	(360) 403-0917

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Lee Derham
Gender	Female
Speciality	Physical Therapist
Location	7728 204th St. Ne, Arlington, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720124357
Provider Enumeration Date: 01/30/2007
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1153411608
Enrollment ID: I20160621001134

Medical Identifiers

Medical identifiers for Mrs Jennifer Lee Derham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720124357	NPI	-	NPPES
226582	Other	WA	L&I
8841BE	Other	WA	REGENCE
8156BE	Other	WA	REGENCE
8946137	Other	WA	L&I CRIME
8869473	Other	WA	MEDICARE
3317BE	Other	WA	REGENCE B/S
8498560	Other	WA	DSHS
9788127	Other	WA	AETNA
P00608949	Other	WA	RAILROAD MEDICARE
6417BE	Other	WA	REGENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7452 (Arizona)	Secondary
225100000X	Physical Therapist	PT00010288 (Washington)	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 Jennifer Lee Derham allows following entities to bill medicare on her behalf.

Provider Name	Arizona Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830

Provider Name	Golden Years Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1306610100 PECOS PAC ID: 7719336593 Enrollment ID: O20231206001871

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 Jennifer Lee Derham 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 Jennifer Lee Derham, DPT 11453 E Reuben Ave, Mesa, AZ 85212-4113 Ph: (425) 750-9526	Mrs Jennifer Lee Derham, DPT 7728 204th St. Ne, #a, Arlington, WA 98223 Ph: (360) 403-8250

Reviews and Comments

Physical Therapist in Arlington, WA

Corey Michael Omalley, DPT, SCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17306 Smokey Point Dr Ste 19, Arlington, WA 98223 Phone: 425-307-1335 Fax: 425-307-1422
Connor Guthrie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24719 59th Ave Ne, Arlington, WA 98223 Phone: 360-588-4145 Fax: 425-962-9449
Martin Joseph Stanton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3405 172nd St Ne, Ste 10, Arlington, WA 98223 Phone: 360-651-8880 Fax: 360-651-9975
Brian Crecelius, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7728 204th St Ne Unit A, Arlington, WA 98223 Phone: 360-403-8250
Reaction Physical Therapy Arlington Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 E 3rd St Ste 200, Arlington, WA 98223 Phone: 360-363-4246 Fax: 360-925-6342
James Wallace Romo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3131 Smokey Point Drive, Suite G, Arlington, WA 98223 Phone: 360-658-8400 Fax: 360-658-2606
Hpi Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19007 61st Avenue Ne, Suite 5, Arlington, WA 98223 Phone: 360-435-8989 Fax: 360-403-8347

Mrs Jennifer Lee Derham, DPT - Medicare Physical Therapist in Arlington, WA