Susan Kay Derrickson, NP-BC - Family Medicine in Goshen, IN

Susan Kay Derrickson, NP-BC is a Family Medicine physician based in Goshen, Indiana. Susan Kay Derrickson is licensed to practice in Indiana (license number 71014637A) and her current practice location is 213 Middlebury St, Goshen, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 534-3300.

NPI number for Susan Kay Derrickson is 1104691153 and her current mailing address is 2024 Maplehurst Ave, Mishawaka, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104691153.

Contact Information

Susan Kay Derrickson, NP-BC
213 Middlebury St,
Goshen, IN 46528-2956
(574) 534-3300
Not Available



Physician's Profile

Full NameSusan Kay Derrickson
GenderFemale
SpecialityFamily Medicine
Location213 Middlebury St, Goshen, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104691153
  • Provider Enumeration Date: 11/20/2023
  • Last Update Date: 11/21/2023

Medical Identifiers

Medical identifiers for Susan Kay Derrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104691153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 71014637A (Indiana)Primary

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 Kay Derrickson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Kay Derrickson, NP-BC
2024 Maplehurst Ave,
Mishawaka, IN 46545-7006

Ph: (574) 302-1640
Susan Kay Derrickson, NP-BC
213 Middlebury St,
Goshen, IN 46528-2956

Ph: (574) 534-3300

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› Verified 8 days ago


Family Medicine Doctors in Goshen, IN

Frank Louis Piaskowy, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2120 Rieth Blvd, Ste C, Goshen, IN 46526
Phone: 574-875-4914    
Dr. Christina Haimes, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Goshen, IN 46526
Phone: 574-533-7600    Fax: 574-533-7666
Dr. Jeffrey A. Eck, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2824 Elkhart Rd, Goshen, IN 46526
Phone: 574-535-1700    Fax: 574-535-1799
Jingpin Li, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Goshen, IN 46526
Phone: 574-533-7600    Fax: 574-364-7666
Dr. Laura E Munkel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2120 Rieth Blvd, Suite A, Goshen, IN 46526
Phone: 574-875-5126    Fax: 574-875-1874
Dr. Brian D. King, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2014 S Main St, Suite B, Goshen, IN 46526
Phone: 574-533-8639    Fax: 574-534-9542

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