Individual ProviderDerek SchmidtPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressEmile @ 42nd St, Omaha, NE 68198-0001(402) 559-0692PECOS EnrollmentBased on the most recent information from CMS, provider Derek Schmidt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720454911Provider TypeIndividualFull NameSchmidt, DerekCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date8/11/2015Last Updated7/9/2020Contact InformationPractice LocationPractice AddressEmile @ 42nd St, Omaha, NE 68198-0001Phone(402) 559-0692FaxUnlisted FaxMailing LocationMailing Address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2419Nebraska