Derek J Schmidt, MD - Medicare Otolaryngology in Saint Paul, MN

Derek J Schmidt, MD is a medicare enrolled "Otolaryngology" physician in Saint Paul, Minnesota. He went to University Of Minnesota Medical School and graduated in 1999 and has 25 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Healthpartners Medical Group, Healthpartners Medical Group and his current practice location is 401 Phalen Blvd, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-8550.

Derek J Schmidt is licensed to practice in Minnesota (license number 47090) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801856588.

Contact Information

Derek J Schmidt, MD
401 Phalen Blvd,
Saint Paul, MN 55130-5302
(651) 254-8550
(651) 254-8558

Map and Direction




Physician's Profile

Full NameDerek J Schmidt
GenderMale
SpecialityOtolaryngology
Experience25 Years
Location401 Phalen Blvd, Saint Paul, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derek J Schmidt attended and graduated from University Of Minnesota Medical School in 1999
  NPI Data:
  • NPI Number: 1801856588
  • Provider Enumeration Date: 03/25/2006
  • Last Update Date: 07/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911967328
  • Enrollment ID: I20041011000578

Medical Identifiers

Medical identifiers for Derek J Schmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801856588NPI-NPPES
996420700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 47090 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hudson HospitalHudson, WIHospital
Regions HospitalSaint paul, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthpartners Medical Group17592939541430
Healthpartners Medical Group17592939541430

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. Derek J Schmidt allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Derek J Schmidt 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
Derek J Schmidt, MD
8170 33rd Ave, Mail Stop 21110q,
Bloomington, MN 55425-4516

Ph: (952) 883-5340
Derek J Schmidt, MD
401 Phalen Blvd,
Saint Paul, MN 55130-5302

Ph: (651) 254-8550

Reviews and Comments


Otolaryngology Doctors in Saint Paul, MN

Dr. Daniel Scott Schneider, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1021 Bandana Blvd West, Saint Paul, MN 55108
Phone: 651-241-9700    
Phi Chau Doan, MD
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Practice Location: 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108
Phone: 651-241-9700    
Dr. Emily Becker, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130
Phone: 651-254-8550    Fax: 651-254-8558
Brianne Barnett Roby, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 347 Smith Ave N, Pediatric Ent And Facial Plastic Surgery, Suite 600, Saint Paul, MN 55102
Phone: 612-874-1292    
Christopher Wright Hilton, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 401 Phalen Blvd, Mail Stop: 11503j, Saint Paul, MN 55130
Phone: 651-254-8550    Fax: 651-254-8558
Michelle Christine Naylor, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 347 Smith Ave N, Suite 602, Saint Paul, MN 55102
Phone: 651-227-0821    Fax: 651-297-6597
Sarah E Shefelbine, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108
Phone: 651-641-7000    

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).

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