Derick Nowacki, CRNP is a medicare enrolled "Clinic/center - Urgent Care" physician in Braddock, Pennsylvania. His current practice location is
501 Braddock Ave, Braddock, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 636-5050.
Derick Nowacki is licensed to practice in Pennsylvania (license number SP032116) 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 1871307041.
Physician's Profile
| Full Name | Derick Nowacki |
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| Gender | Male |
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| Speciality | Clinic/center - Urgent Care |
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| Location | 501 Braddock Ave, Braddock, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871307041
- Provider Enumeration Date: 02/06/2025
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092234294
- Enrollment ID: I20250521000895
Medical Identifiers
Medical identifiers for Derick Nowacki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871307041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | SP032116 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP032116 (Pennsylvania) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | SP032116 (Pennsylvania) | 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. Derick Nowacki allows following entities to bill medicare on his behalf.
| Entity Name | Allegheny Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073081493
PECOS PAC ID: 5395649586
Enrollment ID: O20040310000602 |
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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. Derick Nowacki 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 |
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Derick Nowacki, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856
Ph: () - | Derick Nowacki, CRNP
501 Braddock Ave,
Braddock, PA 15104-1856
Ph: (412) 636-5050 |
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