Anna Derevensky, PA is a medicare enrolled "Physician Assistant" in Friday Harbor, Washington. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Multicare Health System and her current practice location is
445 Kilsburrow Rd, Friday Harbor, Washington. You can reach out to her office (for appointments etc.) via phone at
(845) 467-9333.
Anna Derevensky is licensed to practice in NU (license number 1227629) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881570885.
Provider's Profile
| Full Name | Anna Derevensky |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 445 Kilsburrow Rd, Friday Harbor, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anna Derevensky graduated from nursing school in 2025
NPI Data:
- NPI Number: 1881570885
- Provider Enumeration Date: 08/14/2025
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204314511
- Enrollment ID: I20260128003947
Medical Identifiers
Medical identifiers for Anna Derevensky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881570885 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1227629 (NU) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Multicare Health System | 7719899897 | 2312 |
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. Anna Derevensky allows following entities to bill medicare on her behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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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. Anna Derevensky 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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Anna Derevensky, PA
Po Box 87,
Friday Harbor, WA 98250-0087
Ph: Not Available | Anna Derevensky, PA
445 Kilsburrow Rd,
Friday Harbor, WA 98250-8867
Ph: (845) 467-9333 |
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