Mr Derek Doss, - Medicare Counselor in Boardman, OH

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Mr Derek Doss, is a medicare enrolled "Social Worker - Clinical" provider in Boardman, Ohio. His current practice location is 960 Boardman Canfield Rd, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 259-8813.

Mr Derek Doss is licensed to practice in * (Not Available) (license number ) 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 1336658301.

Contact Information

Mr Derek Doss,
960 Boardman Canfield Rd,
Boardman, OH 44512-4220
(330) 259-8813
(330) 270-2690

Map and Direction


Healthcare Provider's Profile

Full NameMr Derek Doss
GenderMale
SpecialitySocial Worker - Clinical
Location960 Boardman Canfield Rd, Boardman, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336658301
  • Provider Enumeration Date: 09/21/2017
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729436431
  • Enrollment ID: I20231117002831

Medical Identifiers

Medical identifiers for Mr Derek Doss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336658301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))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. Mr Derek Doss allows following entities to bill medicare on his behalf.
Entity NameChurchill Counseling Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013996271
PECOS PAC ID: 3779532262
Enrollment ID: O20050121000876
Entity NameStarz Counseling, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720766975
PECOS PAC ID: 3779934120
Enrollment ID: O20240110000998

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. Mr Derek Doss 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
Mr Derek Doss,
5760 Patriot Blvd,
Austintown, OH 44515-1170

Ph: (330) 259-8813		Mr Derek Doss,
960 Boardman Canfield Rd,
Boardman, OH 44512-4220

Ph: (330) 259-8813

Reviews and Comments


Social Worker in Boardman, OH


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.