Dr Marilyn M Deridder, APRN in Anaheim, CA - Medicare Nurse Practitioner

Dr Marilyn M Deridder, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Anaheim, California. Her current practice location is 1211 W La Palma Ave Ste 404, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 772-8282.

Dr Marilyn M Deridder is licensed to practice in California (license number MD5036175) 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 1548748858.

Contact Information

	Dr Marilyn M Deridder, APRN
	1211 W La Palma Ave Ste 404, Anaheim, CA 92801-2806
	(714) 772-8282
	(714) 772-6493

Map and Direction

Provider's Profile

Full Name	Dr Marilyn M Deridder
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1211 W La Palma Ave Ste 404, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548748858
Provider Enumeration Date: 07/30/2018
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2365781598
Enrollment ID: I20190305001951

Medical Identifiers

Medical identifiers for Dr Marilyn M Deridder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548748858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	MD5036175 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	MD5036175 (California)	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. Dr Marilyn M Deridder allows following entities to bill medicare on her behalf.

Entity Name	Chest And Critical Care Consultants A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598852717 PECOS PAC ID: 7911987961 Enrollment ID: O20040721001161

Entity Name	El-bershawi Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386813103 PECOS PAC ID: 9032298492 Enrollment ID: O20080509000414

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. Dr Marilyn M Deridder 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
Dr Marilyn M Deridder, APRN 751 S Weir Canyon Rd Ste 328, Anaheim, CA 92808-1962 Ph: (714) 280-1495	Dr Marilyn M Deridder, APRN 1211 W La Palma Ave Ste 404, Anaheim, CA 92801-2806 Ph: (714) 772-8282

Reviews and Comments

Nurse Practitioner Nurses in Anaheim, CA

Grace Wiryawan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 W Ball Rd, Anaheim, CA 92804 Phone: 626-872-9844
Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493
Chinenye Umunnakwe, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801 Phone: 310-738-7497
Gayatri Subedi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1771 W Romneya Dr. Ste C, Anaheim, CA 98201 Phone: 714-758-0403
Jennifer Ann Java, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354
Jine-lan Hsu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800

Dr Marilyn M Deridder, APRN - Medicare Nurse Practitioner in Anaheim, CA