Elizabeth Marie Derhammer, FNP-C, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Seville, Ohio. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain Management Group Llc and 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
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 1134958242.
Provider's Profile
| Full Name | Elizabeth Marie Derhammer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 8611 Ryan Rd, Seville, Ohio |
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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:
- Elizabeth Marie Derhammer graduated from nursing school in 2024
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 |
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| 1134958242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WG0000X | Registered Nurse - General Practice | RN356253 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0037269 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pain Management Group Llc | 0143453670 | 43 |
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 |
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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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