Richard L Derrick, CRNA in Portland, ME - Medicare Certified Registered Nurse Anesthetist (crna)

Richard L Derrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Maine. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Medidoctors Llc, Vaughn Jones Anesthesia Llc and his current practice location is 22 Bramhall St, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 662-2526.

Richard L Derrick is licensed to practice in Utah (license number 9639260-4406) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1649803172.

Contact Information

	Richard L Derrick, CRNA
	22 Bramhall St, Portland, ME 04102-3175
	(207) 662-2526
	Not Available

Map and Direction

Provider's Profile

Full Name	Richard L Derrick
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	22 Bramhall St, Portland, Maine
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard L Derrick graduated from nursing school in 2020

NPI Data:

NPI Number: 1649803172
Provider Enumeration Date: 02/12/2020
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2163844697
Enrollment ID: I20200629003630

Medical Identifiers

Medical identifiers for Richard L Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649803172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9469329 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	9639260-4406 (Utah)	Primary
367500000X	Nurse Anesthetist, Certified Registered	0024179084 (Virginia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Washington Hospital	Fredericksburg, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medidoctors Llc	5991605826	112
Vaughn Jones Anesthesia Llc	0941518740	6

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. Richard L Derrick allows following entities to bill medicare on his behalf.

Entity Name	Medidoctors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821033010 PECOS PAC ID: 5991605826 Enrollment ID: O20040108001127

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Smg Anesthesia Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494

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. Richard L 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
Richard L Derrick, CRNA 735 S Peachtree Dr, Toquerville, UT 84774-5079 Ph: (180) 166-4234	Richard L Derrick, CRNA 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-2526

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, ME

Kayla Lima, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Mr. Rex A Huber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall Street, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Heidi S Alpern, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Department Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Katherine Mercedes, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000
Ms. Kathryn L Lillie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 144 State St, Anesthesiology, Portland, ME 04101 Phone: 207-553-6277
Jessica L Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Dept Of Anesthesiology, Portland, ME 04102 Phone: 207-662-2526 Fax: 207-662-6236
Cole Barski, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 175 Fore River Pkwy, Portland, ME 04102 Phone: 207-879-3000

Richard L Derrick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, ME