Keith Derickson in Fort Wayne, Indiana

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Keith Derickson has Family Practice as his primary medical specialty. Their primary office is: 750 Broadway in Fort Wayne, Indiana. There are 6 additional office locations for Keith Derickson that can be viewed towards the end of their profile.

They're a part of the: Fort Wayne Medical Education Program medical group which has around 16 members. You can call their office at 260-423-2675 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Indiana University School Of Medicine and graduated in 2010 (around 14 years of experience). They are listed as doing telehealth appointments.

Keith J Derickson Office Phone and Directions

Keith Derickson
Fort Wayne Medical Education Program
750 Broadway
Fort Wayne, Indiana 46802
260-423-2675

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Phone: 260-423-2675

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Healthcare Info for Keith Derickson

Medical School: Indiana University School Of Medicine
Graduation Year: 2010
The Primary Medical Specialty for Keith Derickson is listed as: Family Practice
Approximate Years of Experience: 14
PAC (PECOS ID)#: 4880845619
NPI #: 1538480439
NPI Created On: 06/15/2010
NPI Last Updated Listed as: 09/28/2020
Primary Taxonomy Code: 207Q00000X
License Number:
01070470A
Listed Gender: Male

Insurance, Services, Charges

Forms of insurance accepted by include, but are not limited to:

Celtic Insurance Company
Humana
Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.

Services and Procedures include:

Insertion of needle into vein for collection of blood sample
Blood test, basic group of blood chemicals
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
Blood test, lipids (cholesterol and triglycerides)
Automated urinalysis test
Blood creatinine level
Blood glucose (sugar) level
Hemoglobin a1c level
Blood test, thyroid stimulating hormone (tsh)
Urea nitrogen level to assess kidney function
Complete blood cell count (red cells, white blood cell, platelets), automated test
Vaccine for influenza for injection into muscle
Vaccine for influenza for administration into muscle, 0.5 ml dosage
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
Established patient office or other outpatient visit, typically 15 minutes
Established patient office or other outpatient, visit typically 25 minutes
Initial hospital inpatient care, typically 50 minutes per day
Subsequent hospital inpatient care, typically 15 minutes per day
Subsequent hospital inpatient care, typically 25 minutes per day
Hospital discharge day management, 30 minutes or less

They took part in Medicare's Electronic Health Record Incentive Program which was designed to help move people over to electronic records and improve the systems that were already in place.
They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.

Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 788364025

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: INVOKANA

Open Associated Drug #1: 50458-140-30

Drug or Biological: Drug

Product Category #2: Cardiovascular & Metabolism

Name Of Drug #2:: XARELTO

Associated Drug #2: 50458-580-30

Payments Total: $11

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 792528021

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: OBESITY

Name of Drug #1: CONTRAVE

Open Associated Drug #1: 51267-890-99

Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350757

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10

Payments Total: $6

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350755

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10

Payments Total: $21

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350759

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: VRAYLAR

Open Associated Drug #1: 61874-115-31

Payments Total: $5

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350761

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10

Payments Total: $7

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350763

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: VRAYLAR

Open Associated Drug #1: 61874-115-31

Payments Total: $19

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350765

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: VRAYLAR

Open Associated Drug #1: 61874-115-31

Payments Total: $5

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350767

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10

Payments Total: $18

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794350769

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10

Additional Office Locations

1. Lutheran Medical Group Llc
3534 Brooklyn Ave
Fort Wayne, IN 46809
Group Members: 253

Phone: 260-423-2675

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2. Lutheran Medical Group Llc
6515 Stellhorn Rd
Fort Wayne, IN 46815
Group Members: 253

Phone: 260-423-2675

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3. Lutheran Medical Group Llc
6515 Stellhorn Rd
Fort Wayne, IN 46815
Suite 200
Group Members: 253

Phone: 260-423-2675

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4. Lutheran Medical Group Llc
2516 E Dupont Rd
Fort Wayne, IN 46825
Group Members: 253

Phone: 260-423-2675

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5. Lutheran Medical Group Llc
2520 E Dupont Rd
Fort Wayne, IN 46825
Dupont Hospital
Group Members: 253

Phone: 260-423-2675

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6. Lutheran Medical Group Llc
6404 Rothman Rd
Fort Wayne, IN 46835
Group Members: 253

Phone: 260-423-2675

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Family Practice Professionals in Fort Wayne

1.
Fatima Khurrum

2520 E Dupont Rd
Fort-wayne, IN
Hospital Care Group Pc

2.
Marjorie Williams

2200 Randallia Dr
Fort-wayne, IN
Parkview Health System Inc

3.
Marjorie Williams

11109 Parkview Plaza Dr
Fort-wayne, IN
Parkview Health System Inc

4.
Glenn Glogas MD

3909 New Vision Dr
Fort-wayne, IN
Parkview Health System Inc

5.
Charles Coats MD

1330 N Coliseum Blvd
Fort-wayne, IN
Anthony Medical Associates P C

6.
Tai Wai Li

8911 Liberty Mills Rd
Fort-wayne, IN
Parkview Health System Inc

Providers in Fort Wayne Medical Education Program

1.Diane Bernardi

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Dermatology

2.Aaron Coray

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Family Practice

3.Keith Derickson

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Family Practice

4.David Furman Jr.

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Family Practice

5.Donald Giant Md

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Family Practice

6.Lisa Hatcher Md

750 Broadway
Fort Wayne In 46802-1412
Fort Wayne Medical Education Program
Family Practice

View all 16 members of Fort Wayne Medical Education Program medical group