William Derrick Jr, FNP-C in Philadelphia, PA

William Derrick Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Doctors Express Of The Beaumont Area Pa, Tmc Provider Group Pllc and his current practice location is 2418 E York St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (415) 840-0560.

William Derrick Jr is licensed to practice in Texas (license number AP126699) 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 1477958049.

Contact Information

	William Derrick Jr, FNP-C
	2418 E York St, Philadelphia, PA 19125-3006
	(415) 840-0560
	Not Available

Map and Direction

Provider's Profile

Full Name	William Derrick Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	2418 E York St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William Derrick Jr graduated from nursing school in 2014

NPI Data:

NPI Number: 1477958049
Provider Enumeration Date: 10/25/2014
Last Update Date: 02/13/2026

Medicare PECOS Information:

PECOS PAC ID: 2961725585
Enrollment ID: I20150106000863

Medical Identifiers

Medical identifiers for William Derrick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477958049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126699 (Texas)	Primary
363LF0000X	Nurse Practitioner - Family	SP033376 (Pennsylvania)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Doctors Express Of The Beaumont Area Pa	5698816882	175
Tmc Provider Group Pllc	6305149121	170

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. William Derrick Jr allows following entities to bill medicare on his behalf.

Entity Name	The University Of Texas At Austin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293

Entity Name	Doctors Express Of The Beaumont Area Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255

Entity Name	Tmc Provider Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053784660 PECOS PAC ID: 6305149121 Enrollment ID: O20160127002626

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. William Derrick 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 Address	Practice Location Address
William Derrick Jr, FNP-C 2418 E York St, Philadelphia, PA 19125-3006 Ph: (415) 840-0560	William Derrick Jr, FNP-C 2418 E York St, Philadelphia, PA 19125-3006 Ph: (415) 840-0560

Reviews and Comments

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William Derrick Jr, FNP-C - Medicare Nurse Practitioner in Philadelphia, PA