Dr Derek Phillips, PSYD - Medicare Psychologist in Charleston, IL

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Dr Derek Phillips, PSYD is a medicare enrolled "Psychologist - Prescribing (medical)" provider in Charleston, Illinois. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is 700 W Lincoln Ave, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 238-4042.

Dr Derek Phillips is licensed to practice in Illinois (license number 074.000012) 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 1467902809.

Contact Information

Dr Derek Phillips, PSYD
700 W Lincoln Ave,
Charleston, IL 61920-2467
(217) 238-4042
(217) 238-4053

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek Phillips
GenderMale
SpecialityClinical Psychologist
Experience11 Years
Location700 W Lincoln Ave, Charleston, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek Phillips graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1467902809
  • Provider Enumeration Date: 10/10/2016
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042584781
  • Enrollment ID: I20170920000167

Medical Identifiers

Medical identifiers for Dr Derek Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467902809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 071.009513 (Illinois)Secondary
103TP0016XPsychologist - Prescribing (medical) 074.000012 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarah Bush Lincoln Health CenterMattoon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sarah Bush Lincoln Health Center5092614867359

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. Dr Derek Phillips allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478

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. Dr Derek Phillips 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
Dr Derek Phillips, PSYD
Po Box 372,
Mattoon, IL 61938-0372

Ph: () -		Dr Derek Phillips, PSYD
700 W Lincoln Ave,
Charleston, IL 61920-2467

Ph: (217) 238-4042

Reviews and Comments


Psychologist in Charleston, IL

Dr. Linda Leal, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2611 Salem Rd, Charleston, IL 61920
Phone: 217-348-8867    Fax: 217-348-8867
Dr. Ronald Ray Sellers, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2308 Andover Pl, Charleston, IL 61920
Phone: 217-825-4335    
Dr. Jerry L. Boyd, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1901 18th St, Charleston, IL 61920
Phone: 217-348-7911    Fax: 217-348-3909

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.