Mr Derald Phillips Jr, PA - Medicare Physician Assistant in Amarillo, TX

Mr Derald Phillips Jr, PA is a medicare enrolled "Physician Assistant - Medical" in Amarillo, Texas. He went to Southern Illinois University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice High Plains Radiological Assoc Llp and his current practice location is 1901 Medi Park Dr Ste 2050, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 355-3352.

Mr Derald Phillips Jr is licensed to practice in Texas (license number PA12454) 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 1972083137.

Contact Information

Mr Derald Phillips Jr, PA
1901 Medi Park Dr Ste 2050,
Amarillo, TX 79106-2109
(806) 355-3352
Not Available

Map and Direction




Provider's Profile

Full NameMr Derald Phillips Jr
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location1901 Medi Park Dr Ste 2050, Amarillo, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derald Phillips Jr attended and graduated from Southern Illinois University School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1972083137
  • Provider Enumeration Date: 08/17/2018
  • Last Update Date: 05/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406198548
  • Enrollment ID: I20190422001033

Medical Identifiers

Medical identifiers for Mr Derald Phillips Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972083137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical PA12454 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist St Anthony's HospitalAmarillo, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
High Plains Radiological Assoc Llp973917247933

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. Mr Derald Phillips Jr 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
Mr Derald Phillips Jr, PA
3605 Portland Ave,
Amarillo, TX 79118-8197

Ph: (217) 918-0207
Mr Derald Phillips Jr, PA
1901 Medi Park Dr Ste 2050,
Amarillo, TX 79106-2109

Ph: (806) 355-3352

Reviews and Comments


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Mrs. Lisa Dawn Snow, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1901 Medi Park Dr, Bldg D Suite 2051, Amarillo, TX 79106
Phone: 806-359-0718    Fax: 806-359-9613

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.