Jack Derovanesian, MD - Medicare Emergency Medicine in Naples, FL

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Jack Derovanesian, MD is a medicare enrolled "Emergency Medicine" physician in Naples, Florida. His current practice location is 6400 Davis Blvd Ste 103, Naples, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 775-2300.

Jack Derovanesian is licensed to practice in Florida (license number ME26879) 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 1073567186.

Contact Information

Jack Derovanesian, MD
6400 Davis Blvd Ste 103,
Naples, FL 34104-5321
(239) 775-2300
Not Available

Map and Direction




Physician's Profile

Full NameJack Derovanesian
GenderMale
SpecialityEmergency Medicine
Location6400 Davis Blvd Ste 103, Naples, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073567186
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 05/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0941254452
  • Enrollment ID: I20050308000821

Medical Identifiers

Medical identifiers for Jack Derovanesian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073567186NPI-NPPES
78470OtherFLBC BS FL
067815500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME26879 (Florida)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. Jack Derovanesian allows following entities to bill medicare on his behalf.
Entity NameSouthwest Florida Emergency Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780911206
PECOS PAC ID: 0648314393
Enrollment ID: O20100218000201
Entity NameUrgent Care Of Naples Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821320730
PECOS PAC ID: 6204964877
Enrollment ID: O20100503000708
Entity NameThse - Marco Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801125331
PECOS PAC ID: 8921131475
Enrollment ID: O20100804000321

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. Jack Derovanesian 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
Jack Derovanesian, MD
Po Box 160448,
Miami, FL 33116-0448

Ph: (239) 262-4519		Jack Derovanesian, MD
6400 Davis Blvd Ste 103,
Naples, FL 34104-5321

Ph: (239) 775-2300

Reviews and Comments


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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.