Justin Derry, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Granville, Iowa. His current practice location is
4361 Monroe Ave, Granville, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 334-0083.
Justin Derry is licensed to practice in Iowa (license number 113268) 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 1285471656.
Healthcare Provider's Profile
Full Name | Justin Derry |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 4361 Monroe Ave, Granville, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285471656
- Provider Enumeration Date: 07/11/2024
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567971344
- Enrollment ID: I20250603002061
Medical Identifiers
Medical identifiers for Justin Derry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285471656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 113268 (Iowa) | 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. Justin Derry allows following entities to bill medicare on his behalf.
Entity Name | Integrative Psychology Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730645102 PECOS PAC ID: 2567893787 Enrollment ID: O20200502000208 |
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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. Justin Derry 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 |
Justin Derry, LMHC 4361 Monroe Ave, Granville, IA 51022-7531 Ph: (712) 334-0083 | Justin Derry, LMHC 4361 Monroe Ave, Granville, IA 51022-7531 Ph: (712) 334-0083 |
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