Corina Clark-derman, FNP - Medicare Nurse Practitioner in Albany, CA

Corina Clark-derman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Albany, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 500 San Pablo Ave, Albany, California. You can reach out to her office (for appointments etc.) via phone at (510) 204-8130.

Corina Clark-derman is licensed to practice in California (license number 21609) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669734778.

Contact Information

Corina Clark-derman, FNP
500 San Pablo Ave,
Albany, CA 94706-1103
(510) 204-8130
Not Available

Map and Direction




Provider's Profile

Full NameCorina Clark-derman
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location500 San Pablo Ave, Albany, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Corina Clark-derman graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1669734778
  • Provider Enumeration Date: 06/14/2012
  • Last Update Date: 09/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284880303
  • Enrollment ID: I20120806000537

Medical Identifiers

Medical identifiers for Corina Clark-derman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669734778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 772499 (California)Secondary
363LF0000XNurse Practitioner - Family 21609 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782941

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. Corina Clark-derman allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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. Corina Clark-derman 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
Corina Clark-derman, FNP
3687 Mt Diablo Blvd, S,
Lafayette, CA 94549-3717

Ph: () -
Corina Clark-derman, FNP
500 San Pablo Ave,
Albany, CA 94706-1103

Ph: (510) 204-8130

Reviews and Comments


Nurse Practitioner Nurses in Albany, CA

Mary Bunzel, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 San Pablo Ave, Albany, CA 94706
Phone: 510-204-8130    Fax: 510-524-0861
Margaret Kirkham, RN, MSN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 San Pablo Ave, Albany, CA 94706
Phone: 510-204-8130    
Michelle Frijas, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 Kains Ave Ste 201, Albany, CA 94706
Phone: 510-853-6116    
Mary E. Wardlaw, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 San Pablo Ave, Albany, CA 94706
Phone: 510-204-8130    Fax: 510-524-0861
Mr. Dewayne Lee Cecil, AGACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1080 Monroe Ave, Suite 120, Albany, CA 94706
Phone: 510-439-9496    
Otis Perry Max Ingersoll, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 San Pablo Ave, Albany, CA 94706
Phone: 510-204-8130    Fax: 510-524-0861
Mr. Drew Ho, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 San Pablo Ave, Suite 300, Albany, CA 94706
Phone: 510-204-8130    

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.