Derek Justice Jay, - Medicare Nurse Practitioner in New Bremen, OH

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Derek Justice Jay, is a medicare enrolled "Nurse Practitioner - Family" in New Bremen, Ohio. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice M E D F Physicians Corporation and his current practice location is 03920 Southland Rd, New Bremen, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 629-2772.

Derek Justice Jay is licensed to practice in Ohio (license number 0036746) 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 1427819721.

Contact Information

Derek Justice Jay,
03920 Southland Rd,
New Bremen, OH 45869-9790
(419) 629-2772
(419) 629-3613

Map and Direction




Provider's Profile

Full NameDerek Justice Jay
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location03920 Southland Rd, New Bremen, Ohio
Accepts Medicare AssignmentsYes. 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 Justice Jay graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1427819721
  • Provider Enumeration Date: 01/23/2024
  • Last Update Date: 07/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062943319
  • Enrollment ID: I20240927001289

Medical Identifiers

Medical identifiers for Derek Justice Jay such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427819721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0036746 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercer County Joint Township Community HospitalColdwater, OHHospital
Grand Lake Health SystemSaint marys, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M E D F Physicians Corporation913310990346

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 Justice Jay allows following entities to bill medicare on his behalf.
Entity NameM E D F Physicians Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417992710
PECOS PAC ID: 9133109903
Enrollment ID: O20040722000452

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 Justice Jay 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 AddressPractice Location Address
Derek Justice Jay,
830 W Main St,
Coldwater, OH 45828-1626

Ph: (567) 890-7143		Derek Justice Jay,
03920 Southland Rd,
New Bremen, OH 45869-9790

Ph: (419) 629-2772

Reviews and Comments


Nurse Practitioner Nurses in New Bremen, OH

Deanna Bruggeman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    
Courtney Gilberg,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 N Maurer Pl, New Bremen, OH 45869
Phone: 419-953-4294    
Amanda L Sanford, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    Fax: 419-629-3613
Amanda Lynn Hurley, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 03920 Southland Rd, New Bremen, OH 45869
Phone: 419-629-2772    Fax: 419-629-3613

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.