Derrek Giansiracusa, in Glendale, AZ

Derrek Giansiracusa, is a medicare enrolled "Dermatology" physician in Glendale, Arizona. His current practice location is 11851 N 51st Ave Ste E130, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 299-9540.

Derrek Giansiracusa is licensed to practice in Arizona (license number 011498) 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 1154023737.

Contact Information

	Derrek Giansiracusa,
	11851 N 51st Ave Ste E130, Glendale, AZ 85304-2843
	(623) 299-9540
	Not Available

Map and Direction

Physician's Profile

Full Name	Derrek Giansiracusa
Gender	Male
Speciality	Dermatology
Location	11851 N 51st Ave Ste E130, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154023737
Provider Enumeration Date: 03/20/2023
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 6709248768
Enrollment ID: I20250311000214

Medical Identifiers

Medical identifiers for Derrek Giansiracusa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154023737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	011498 (Arizona)	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. Derrek Giansiracusa allows following entities to bill medicare on his behalf.

Entity Name	Omni Dermatology Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003082090 PECOS PAC ID: 5698846558 Enrollment ID: O20080619000682

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. Derrek Giansiracusa 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
Derrek Giansiracusa, 11851 N 51st Ave Ste E130, Glendale, AZ 85304-2843 Ph: () -	Derrek Giansiracusa, 11851 N 51st Ave Ste E130, Glendale, AZ 85304-2843 Ph: (623) 299-9540

Reviews and Comments

Dermatology Doctors in Glendale, AZ

James Frederick Pehoushek, MD MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6320-a W Union Hills Dr., Ste 100, Glendale, AZ 85308 Phone: 623-376-7600 Fax: 623-376-0229
Erik Jason Martinez, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11851 N 51st Ave Ste E130, Glendale, AZ 85304 Phone: 623-703-4718 Fax: 623-703-4718
Dr. Ryan A. Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18699 N 67th Ave Ste 220, Glendale, AZ 85308 Phone: 480-905-8485 Fax: 480-905-7274
Lindsey N Johnson, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11851 N 51st Ave Ste E130, Glendale, AZ 85304 Phone: 623-299-9540
Dr. Lara E. Rosenbaum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6316 W Union Hills Dr Ste 200, Glendale, AZ 85308 Phone: 480-905-8485 Fax: 480-905-7274

Derrek Giansiracusa, - Medicare Dermatology in Glendale, AZ