Joseph A Derije, NP - Medicare Nurse Practitioner in Culver City, CA

Joseph A Derije, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Culver City, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Exodus Recovery Inc and his current practice location is 9808 Venice Blvd, Suite 700, Culver City, California. You can reach out to his office (for appointments etc.) via phone at (310) 945-3350.

Joseph A Derije is licensed to practice in California (license number 95005123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003107616.

Contact Information

Joseph A Derije, NP
9808 Venice Blvd, Suite 700,
Culver City, CA 90232-2732
(310) 945-3350
(310) 840-7023

Map and Direction




Provider's Profile

Full NameJoseph A Derije
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location9808 Venice Blvd, Culver City, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joseph A Derije graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1003107616
  • Provider Enumeration Date: 04/29/2011
  • Last Update Date: 06/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406137751
  • Enrollment ID: I20161229000826

Medical Identifiers

Medical identifiers for Joseph A Derije such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003107616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 743245 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95005123 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Exodus Recovery Inc26684673417

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. Joseph A Derije allows following entities to bill medicare on his behalf.
Entity NameTarzana Treatment Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346842093
PECOS PAC ID: 5991897845
Enrollment ID: O20070822001488
Entity NameExodus Recovery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245441906
PECOS PAC ID: 2668467341
Enrollment ID: O20100107000614

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. Joseph A Derije 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
Joseph A Derije, NP
9808 Venice Blvd, Suite 700,
Culver City, CA 90232-2732

Ph: (310) 945-3350
Joseph A Derije, NP
9808 Venice Blvd, Suite 700,
Culver City, CA 90232-2732

Ph: (310) 945-3350

Reviews and Comments


Nurse Practitioner Nurses in Culver City, CA

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Practice Location: 9808 Venice Blvd, Culver City, CA 90232
Phone: 310-945-3350    
Chukwuemeka Kingsley Ilomuanya, APRN
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Phone: 310-945-3350    Fax: 310-945-3356
Noah Kojo Peter,
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Medicare: Accepting Medicare Assignments
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Phone: 310-390-6612    Fax: 310-398-5690
Joseph P. Weigel, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9808 Venice Blvd, #700, Culver City, CA 90232
Phone: 310-945-3350    
Chiugo Okonkwo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9808 Venice Blvd Ste 700, Culver City, CA 90232
Phone: 310-945-3350    Fax: 310-945-3356

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.