Derek Rogers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jbsa-lackland, Texas. He graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifespan Physician Group Of Massachusetts Inc and his current practice location is
1100 Wilford Hall Loop, Jbsa-lackland, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 292-1100.
Derek Rogers is licensed to practice in Texas (license number AP109787) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508836446.
Provider's Profile
| Full Name | Derek Rogers |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 30 Years |
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| Location | 1100 Wilford Hall Loop, Jbsa-lackland, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derek Rogers graduated from nursing school in 1996
NPI Data:
- NPI Number: 1508836446
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961485701
- Enrollment ID: I20241119001857
Medical Identifiers
Medical identifiers for Derek Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508836446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | AP109787 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 286 |
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 Rogers allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Professionals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659346443
PECOS PAC ID: 0042297582
Enrollment ID: O20040702000303 |
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| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043711914
PECOS PAC ID: 2860688728
Enrollment ID: O20180329001196 |
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| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235957713
PECOS PAC ID: 3870020399
Enrollment ID: O20241223001706 |
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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. Derek Rogers 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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Derek Rogers, CRNA
Po Box 840853,
Dallas, TX 75284-0853
Ph: () - | Derek Rogers, CRNA
1100 Wilford Hall Loop,
Jbsa-lackland, TX 78236
Ph: (210) 292-1100 |
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