Individual ProviderDerek YipStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1303 E Herndon Ave, Fresno, CA 93720-3309(559) 450-3000PECOS EnrollmentBased on the most recent information from CMS, provider Derek Yip 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 ID1013650704Provider TypeIndividualFull NameYip, DerekTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/19/2022Last Updated4/19/2022Contact InformationPractice LocationPractice Address1303 E Herndon Ave, Fresno, CA 93720-3309Phone(559) 450-3000FaxUnlisted FaxMailing LocationMailing Address1303 E Herndon Ave, Fresno, CA 93720-3309PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer