Dr Derek Phillips, PSYD is a medicare enrolled "Psychologist - Prescribing (medical)" provider in Mattoon, Illinois. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is
1000 Health Center Dr Ste 107, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 258-4096.
Dr Derek Phillips is licensed to practice in Illinois (license number 074.000012) 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 1467902809.
Healthcare Provider's Profile
Full Name | Dr Derek Phillips |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 9 Years |
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Location | 1000 Health Center Dr Ste 107, Mattoon, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Derek Phillips graduated from medical school in 2015
NPI Data:
- NPI Number: 1467902809
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 01/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042584781
- Enrollment ID: I20170920000167
Medical Identifiers
Medical identifiers for Dr Derek Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467902809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 071.009513 (Illinois) | Secondary |
103TP0016X | Psychologist - Prescribing (medical) | 074.000012 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sarah Bush Lincoln Health Center | 5092614867 | 308 |
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 Derek Phillips allows following entities to bill medicare on his behalf.
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
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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 Derek Phillips 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 Derek Phillips, PSYD Po Box 372, Mattoon, IL 61938-0372 Ph: (217) 682-8128 | Dr Derek Phillips, PSYD 1000 Health Center Dr Ste 107, Mattoon, IL 61938-4644 Ph: (217) 258-4096 |
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