Ms Amy Marie Derrick, APN - Medicare Nurse Practitioner in Manasquan, NJ

Ms Amy Marie Derrick, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manasquan, New Jersey. Her current practice location is 2640 Highway 70 Ste 201, Manasquan, New Jersey. You can reach out to her office (for appointments etc.) via phone at (327) 202-0622.

Ms Amy Marie Derrick is licensed to practice in New Jersey (license number 26NJ14857300) 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 1174281513.

Contact Information

Ms Amy Marie Derrick, APN
2640 Highway 70 Ste 201,
Manasquan, NJ 08736-2609
(327) 202-0622
(732) 202-0620



Provider's Profile

Full NameMs Amy Marie Derrick
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2640 Highway 70 Ste 201, Manasquan, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174281513
  • Provider Enumeration Date: 12/02/2021
  • Last Update Date: 10/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739532425
  • Enrollment ID: I20240130000528

Medical Identifiers

Medical identifiers for Ms Amy Marie Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174281513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR18163900 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ14857300 (New Jersey)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 Amy Marie Derrick allows following entities to bill medicare on her behalf.
Entity NameBrick Psychiatric Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992818777
PECOS PAC ID: 0749367654
Enrollment ID: O20080402000598

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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 Amy Marie Derrick 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 Amy Marie Derrick, APN
448 Lukas Blvd,
Morganville, NJ 07751-9741

Ph: (732) 598-0340
Ms Amy Marie Derrick, APN
2640 Highway 70 Ste 201,
Manasquan, NJ 08736-2609

Ph: (327) 202-0622

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Nurse Practitioner Nurses in Manasquan, NJ

Corina M Ianculovici, APRN, AG-PCP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2640 Hwy 70, Bldg.5, Building #5, Suite 102b, Manasquan, NJ 08736
Phone: 732-292-0100    Fax: 732-292-0900
Mrs. Megan Skinner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1707 Atlantic Ave, Manasquan, NJ 08736
Phone: 732-528-0760    
Jessica Anne Kerley, APN-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 240 Parker Ave, Manasquan, NJ 08736
Phone: 732-974-8100    Fax: 732-974-9125
Barbara B. Lutz, CNM
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2671 Highway 70, Manasquan, NJ 08736
Phone: 732-528-6999    Fax: 732-528-3397
Mrs. Jacqueline Marie Iannacone, PMHNP-BC, CARN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2640 Highway 70 Bldg 5, Manasquan, NJ 08736
Phone: 732-581-4726    
Elizabeth Cheney, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2671 Highway 70, Manasquan, NJ 08736
Phone: 732-528-6999    Fax: 732-528-3397
Michelle L. Liddy, APRN, CNM
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2671 Highway 70, Manasquan, NJ 08736
Phone: 732-528-6999    Fax: 732-528-3397

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