Ms Amy Marie Derrick, APN in Manasquan, NJ - Medicare Nurse Practitioner

Ms Amy Marie Derrick, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manasquan, New Jersey. Her current practice location is 2640 Highway 70 Ste 201, Manasquan, New Jersey. You can reach out to her office (for appointments etc.) via phone at (327) 202-0622.

Ms Amy Marie Derrick is licensed to practice in New Jersey (license number 26NJ14857300) 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 1174281513.

Contact Information

	Ms Amy Marie Derrick, APN
	2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609
	(327) 202-0622
	(732) 202-0620

Map and Direction

Provider's Profile

Full Name	Ms Amy Marie Derrick
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2640 Highway 70 Ste 201, Manasquan, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174281513
Provider Enumeration Date: 12/02/2021
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9739532425
Enrollment ID: I20240130000528

Medical Identifiers

Medical identifiers for Ms Amy Marie Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174281513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR18163900 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ14857300 (New Jersey)	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. Ms Amy Marie Derrick allows following entities to bill medicare on her behalf.

Entity Name	Brick Psychiatric Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992818777 PECOS PAC ID: 0749367654 Enrollment ID: O20080402000598

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 Amy Marie 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 Address	Practice Location Address
Ms Amy Marie Derrick, APN 448 Lukas Blvd, Morganville, NJ 07751-9741 Ph: (732) 598-0340	Ms Amy Marie Derrick, APN 2640 Highway 70 Ste 201, Manasquan, NJ 08736-2609 Ph: (327) 202-0622

Reviews and Comments

Nurse Practitioner Nurses in Manasquan, NJ

Corina M Ianculovici, APRN, AG-PCP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2640 Hwy 70, Bldg.5, Building #5, Suite 102b, Manasquan, NJ 08736 Phone: 732-292-0100 Fax: 732-292-0900
Mrs. Megan Skinner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1707 Atlantic Ave, Manasquan, NJ 08736 Phone: 732-528-0760
Jessica Anne Dow, APN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Parker Ave, Manasquan, NJ 08736 Phone: 732-974-8100 Fax: 732-974-9125
Barbara B. Lutz, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2671 Highway 70, Manasquan, NJ 08736 Phone: 732-528-6999 Fax: 732-528-3397
Mrs. Jacqueline Marie Iannacone, PMHNP-BC, CARN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2640 Highway 70 Bldg 5, Manasquan, NJ 08736 Phone: 732-581-4726
Elizabeth Cheney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2671 Highway 70, Manasquan, NJ 08736 Phone: 732-528-6999 Fax: 732-528-3397
Michelle L. Liddy, APRN, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2671 Highway 70, Manasquan, NJ 08736 Phone: 732-528-6999 Fax: 732-528-3397

Ms Amy Marie Derrick, APN - Medicare Nurse Practitioner in Manasquan, NJ