Derrik J Haradon-chrisler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Big Flats, New York. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Guthrie Medical Group Pc and his current practice location is
12053 Oakfield Cir, Big Flats, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 368-1267.
Derrik J Haradon-chrisler is licensed to practice in New York (license number 357372) 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 1043067713.
Provider's Profile
| Full Name | Derrik J Haradon-chrisler |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 12053 Oakfield Cir, Big Flats, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Derrik J Haradon-chrisler graduated from nursing school in 2025
NPI Data:
- NPI Number: 1043067713
- Provider Enumeration Date: 05/01/2024
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587168505
- Enrollment ID: I20250922001046
Medical Identifiers
Medical identifiers for Derrik J Haradon-chrisler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043067713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 819538 (New York) | Secondary |
| 163W00000X | Registered Nurse | RN799382 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP033192 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 357372 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Guthrie Medical Group Pc | 6002728656 | 802 |
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. Derrik J Haradon-chrisler 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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Derrik J Haradon-chrisler, FNP
12053 Oakfield Cir,
Big Flats, NY 14814-9600
Ph: () - | Derrik J Haradon-chrisler, FNP
12053 Oakfield Cir,
Big Flats, NY 14814-9600
Ph: (607) 368-1267 |
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