Patrick Derouen, PA-C - Medicare Physician Assistant in Austell, GA

  1. Home
  2. Physician Assistant
  3. GA
  4. Austell
Patrick Derouen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Austell, Georgia. His current practice location is 1550 Mulkey Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 446-1440.

Patrick Derouen is licensed to practice in Georgia (license number 004076) 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 1184781999.

Contact Information

Patrick Derouen, PA-C
1550 Mulkey Rd,
Austell, GA 30106-1112
(404) 446-1440
(770) 732-2081

Map and Direction




Provider's Profile

Full NamePatrick Derouen
GenderMale
SpecialityPhysician Assistant - Medical
Location1550 Mulkey Rd, Austell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184781999
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688863095
  • Enrollment ID: I20110118000218

Medical Identifiers

Medical identifiers for Patrick Derouen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184781999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 004076 (Georgia)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. Patrick Derouen allows following entities to bill medicare on his behalf.
Entity NameAtlanta West Dermatology & Surgery Center PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174680979
PECOS PAC ID: 9638135692
Enrollment ID: O20041202000177

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. Patrick Derouen 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
Patrick Derouen, PA-C
1550 Mulkey Rd,
Austell, GA 30106-1112

Ph: (404) 446-1440		Patrick Derouen, PA-C
1550 Mulkey Rd,
Austell, GA 30106-1112

Ph: (404) 446-1440

Reviews and Comments


Physician Assistant Nurses in Austell, GA

Mrs. Lauren S Snyder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Hospital South Dr Ste 300, Austell, GA 30106
Phone: 770-944-2830    Fax: 678-581-7170
Madison Mckenzie Akin, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Ms. Melissa Anne Martel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Mr. Jeffrey N Hairston, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-941-7227
Lauren Cannon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 706-863-9595    Fax: 706-868-8375
Bethany Bixler Quinn, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3820 Medical Park Dr, Austell, GA 30106
Phone: 770-948-6041    Fax: 770-819-2987
Douglas A. Hernandez, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106
Phone: 770-944-1100    

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.