Derek Evan Burkhart, APRN-FNP is a medicare enrolled "Nurse Practitioner" physician in Hopkinsville, Kentucky. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jennie Stuart Medical Center Inc and his current practice location is
320 W 18th St, Hopkinsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 887-0100.
Derek Evan Burkhart is licensed to practice in Kentucky (license number 3018279) 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 1922728849.
Physician's Profile
| Full Name | Derek Evan Burkhart |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 320 W 18th St, Hopkinsville, Kentucky |
|---|
| 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:
- Derek Evan Burkhart graduated from medical school in 2022
NPI Data:
- NPI Number: 1922728849
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719363324
- Enrollment ID: I20221005002891
Medical Identifiers
Medical identifiers for Derek Evan Burkhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922728849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 3018279 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3018279 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3018279 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jennie Stuart Medical Center Inc | 4183607252 | 115 |
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. Derek Evan Burkhart allows following entities to bill medicare on his behalf.
| Entity Name | Jennie Stuart Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1235139312
PECOS PAC ID: 4183607252
Enrollment ID: O20040609001506 |
|---|
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. Derek Evan Burkhart 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 |
|---|
Derek Evan Burkhart, APRN-FNP
25 Thomas Trce,
Cadiz, KY 42211-8404
Ph: (270) 350-7150 | Derek Evan Burkhart, APRN-FNP
320 W 18th St,
Hopkinsville, KY 42240-1965
Ph: (270) 887-0100 |
Reviews and Comments