Mr James Quincey Derrick, PA - Medicare Physician Assistant in Tierra Amarilla, NM

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Mr James Quincey Derrick, PA is a medicare enrolled "Physician Assistant" in Tierra Amarilla, New Mexico. His current practice location is Cr 0324 Hwy 84 N #14, Tierra Amarilla, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 588-7252.

Mr James Quincey Derrick is licensed to practice in New Mexico (license number PA2009-0016) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346471802.

Contact Information

Mr James Quincey Derrick, PA
Cr 0324 Hwy 84 N #14,
Tierra Amarilla, NM 87575
(575) 588-7252
(575) 588-9132

Map and Direction




Provider's Profile

Full NameMr James Quincey Derrick
GenderMale
SpecialityPhysician Assistant
LocationCr 0324 Hwy 84 N #14, Tierra Amarilla, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346471802
  • Provider Enumeration Date: 07/31/2009
  • Last Update Date: 08/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395886055
  • Enrollment ID: I20100104000491

Medical Identifiers

Medical identifiers for Mr James Quincey Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346471802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2009-0016 (New Mexico)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. Mr James Quincey Derrick allows following entities to bill medicare on his behalf.
Entity NamePresbyterian Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871505032
PECOS PAC ID: 2062324684
Enrollment ID: O20031103000414

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 James Quincey 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
Mr James Quincey Derrick, PA
Po Box 250,
Tierra Amarilla, NM 87575-0250

Ph: (575) 588-7252		Mr James Quincey Derrick, PA
Cr 0324 Hwy 84 N #14,
Tierra Amarilla, NM 87575

Ph: (575) 588-7252

Reviews and Comments


Physician Assistant Nurses in Tierra Amarilla, NM

Lydia Rose Jarka, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Us Highway 84 County Road 0324 #14, Tierra Amarilla, NM 87575
Phone: 575-588-7252    

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.