Susan A Derry, MD - Medicare Emergency Medicine in Olympia, WA

Susan A Derry, MD is a medicare enrolled "Emergency Medicine" physician in Olympia, Washington. She went to University Of North Dakota School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Olympia Emergency Services Pllc, Sanford Health Of Northern Minnesota and her current practice location is 413 Lilly Rd Ne, Msddh09, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 918-0119.

Susan A Derry is licensed to practice in Washington (license number MD60547005) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023109030.

Contact Information

Susan A Derry, MD
413 Lilly Rd Ne, Msddh09,
Olympia, WA 98506-5133
(360) 918-0119
Not Available



Physician's Profile

Full NameSusan A Derry
GenderFemale
SpecialityEmergency Medicine
Experience12 Years
Location413 Lilly Rd Ne, Olympia, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan A Derry attended and graduated from University Of North Dakota School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1023109030
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 03/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214903632
  • Enrollment ID: I20151106001129

Medical Identifiers

Medical identifiers for Susan A Derry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023109030NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD60547005 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Bemidji Medical CenterBemidji, MNHospital
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olympia Emergency Services Pllc933503563334
Sanford Health Of Northern Minnesota5597725168258

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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. Susan A Derry allows following entities to bill medicare on her behalf.
Entity NameOlympia Emergency Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346267796
PECOS PAC ID: 9335035633
Enrollment ID: O20040224000907

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Entity NamePublic Hospital District 3 Of Pacific County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295771376
PECOS PAC ID: 7214822105
Enrollment ID: O20060504000559

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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. Susan A Derry 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
Susan A Derry, MD
Po Box 5007,
Lacey, WA 98509-5007

Ph: (360) 918-0119
Susan A Derry, MD
413 Lilly Rd Ne, Msddh09,
Olympia, WA 98506-5133

Ph: (360) 918-0119

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Emergency Medicine Doctors in Olympia, WA

Dr. Jeffrey Howard, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-491-9480    
Dr. Penelope Anne Goode, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 413 Lilly Rd Ne, Olympia Emergency Services, Olympia, WA 98506
Phone: 360-493-4554    
Dr. Lien Hong Ly, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-923-7000    
Dr. Bruce Lincoln, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-491-9480    
Daniel Gilday,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506
Phone: 360-493-4400    
Dr. Joshua James Sahara, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7318 Grayhawk Ln Ne, Olympia, WA 98516
Phone: 914-217-4372    

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