Ms Pamela Faye Derby, MS - Medicare Clinical Social Worker in Waukesha, WI

Ms Pamela Faye Derby, MS is a medicare enrolled "Social Worker - Clinical" provider in Waukesha, Wisconsin. Her current practice location is 2727 N Grandview Blvd Ste 203, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 547-5567.

Ms Pamela Faye Derby is licensed to practice in Wisconsin (license number 3576-123) 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 1508081555.

Contact Information

Ms Pamela Faye Derby, MS
2727 N Grandview Blvd Ste 203,
Waukesha, WI 53188-1671
(262) 547-5567
(262) 421-5477



Healthcare Provider's Profile

Full NameMs Pamela Faye Derby
GenderFemale
SpecialitySocial Worker - Clinical
Location2727 N Grandview Blvd Ste 203, Waukesha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508081555
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 01/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486090495
  • Enrollment ID: I20240313001502

Medical Identifiers

Medical identifiers for Ms Pamela Faye Derby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508081555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 3576-123 (Wisconsin)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 Pamela Faye Derby allows following entities to bill medicare on her behalf.
Entity NameFamily Service Agency Of Waukesha County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568404671
PECOS PAC ID: 0648168823
Enrollment ID: O20040309000638

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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 Pamela Faye Derby 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
Ms Pamela Faye Derby, MS
2727 N Grandview Blvd Ste 203,
Waukesha, WI 53188-1671

Ph: (262) 547-5567
Ms Pamela Faye Derby, MS
2727 N Grandview Blvd Ste 203,
Waukesha, WI 53188-1671

Ph: (262) 547-5567

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Social Worker in Waukesha, WI

Ms. Natasha Jean Pinkerton, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 725 American Ave, Waukesha, WI 53188
Phone: 262-928-1000    
Mr. Jerome Michael Loberg, M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Airport Rd., Waukesha, WI 53188
Phone: 262-548-7930    
Cindy M Sywyk, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Gary Swan, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2607 N Grandview Blvd, Suite 104, Waukesha, WI 53188
Phone: 262-446-9981    Fax: 262-446-9983
Robert K Porter, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188
Phone: 262-928-2396    Fax: 262-544-1213
Susan L Driscoll, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Airport Rd, Waukesha, WI 53188
Phone: 262-548-7950    
Marilyn Tauscher, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188
Phone: 262-928-4036    

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