Elizabeth Marie Derhammer, FNP-C, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Seville, Ohio. Her current practice location is 
8611 Ryan Rd, Seville, Ohio. You can reach out to her office (for appointments etc.) via phone at 
(330) 241-1767.
Elizabeth Marie Derhammer is licensed to practice in Ohio (license number APRN.CNP.0037269) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134958242.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Elizabeth Marie Derhammer | 
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| Gender | Female | 
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| Speciality | Nurse Practitioner - Family | 
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| Location | 8611 Ryan Rd, Seville, Ohio | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1134958242
 - Provider Enumeration Date: 07/29/2024
 - Last Update Date: 08/14/2024
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 4981127909
 - Enrollment ID: I20250401000394
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Elizabeth Marie Derhammer such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1134958242 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 163WG0000X | Registered Nurse - General Practice  | RN356253 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family  | APRN.CNP.0037269 (Ohio) | 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. Elizabeth Marie Derhammer allows following entities to bill medicare on her behalf.
| Entity Name | Pain Management Group Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 | 
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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. Elizabeth Marie Derhammer 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 | 
		Elizabeth Marie Derhammer, FNP-C, APRN-CNP 8611 Ryan Rd, Seville, OH 44273-9534 Ph: (330) 241-1767 | Elizabeth Marie Derhammer, FNP-C, APRN-CNP 8611 Ryan Rd, Seville, OH 44273-9534 Ph: (330) 241-1767 | 
		
		 
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