Dr Derrick Roy Blythe, DC is a medicare enrolled "Chiropractor" provider in Booneville, Mississippi. His current practice location is
413 N 2nd St, Booneville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 728-7414.
Dr Derrick Roy Blythe is licensed to practice in Mississippi (license number 885) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851473227.
Healthcare Provider's Profile
| Full Name | Dr Derrick Roy Blythe |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 413 N 2nd St, Booneville, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851473227
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507888088
- Enrollment ID: I20051227000538
Medical Identifiers
Medical identifiers for Dr Derrick Roy Blythe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851473227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 885 (Mississippi) | 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. Dr Derrick Roy Blythe 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 Address | Practice Location Address |
Dr Derrick Roy Blythe, DC 413 N 2nd St, Booneville, MS 38829-2031 Ph: (662) 728-7414 | Dr Derrick Roy Blythe, DC 413 N 2nd St, Booneville, MS 38829-2031 Ph: (662) 728-7414 |
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