Ms Kathryn Jenny Derrick, PA-C - Medicare Physician Assistant in Sun City Center, FL

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Ms Kathryn Jenny Derrick, PA-C is a medicare enrolled "Physician Assistant" in Sun City Center, Florida. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Florida Anesthesia Medical Services 1, Pa and her current practice location is 991 E Del Webb Blvd, Sun City Center, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 978-9700.

Ms Kathryn Jenny Derrick is licensed to practice in Florida (license number PA9111539) 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 1215412309.

Contact Information

Ms Kathryn Jenny Derrick, PA-C
991 E Del Webb Blvd,
Sun City Center, FL 33573-6669
(813) 978-9700
Not Available

Map and Direction




Provider's Profile

Full NameMs Kathryn Jenny Derrick
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location991 E Del Webb Blvd, Sun City Center, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kathryn Jenny Derrick graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1215412309
  • Provider Enumeration Date: 09/25/2018
  • Last Update Date: 01/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042554420
  • Enrollment ID: I20181212001544

Medical Identifiers

Medical identifiers for Ms Kathryn Jenny Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215412309NPI-NPPES
101229400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9111539 (Florida)Primary
363AS0400XPhysician Assistant - Surgical 9111539 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tampa General HospitalTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Anesthesia Medical Services 1, Pa741620843410

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. Ms Kathryn Jenny Derrick allows following entities to bill medicare on her behalf.
Entity NameMusculoskeletal Institute Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386639920
PECOS PAC ID: 1052224102
Enrollment ID: O20031106000215
Entity NameGulf-to-bay Anesthesiology Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NameTallahassee Orthopedic Clinic III Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194778050
PECOS PAC ID: 4284532755
Enrollment ID: O20031222000343
Entity NameFlorida Anesthesia Medical Services 1, PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467949776
PECOS PAC ID: 7416208434
Enrollment ID: O20181001001776

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. Ms Kathryn Jenny Derrick 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
Ms Kathryn Jenny Derrick, PA-C
13020 N Telecom Pkwy,
Temple Terrace, FL 33637-0915

Ph: (813) 978-9700		Ms Kathryn Jenny Derrick, PA-C
991 E Del Webb Blvd,
Sun City Center, FL 33573-6669

Ph: (813) 978-9700

Reviews and Comments


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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).

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