Dr Adam Kirk Derrickson, MD - Medicare Internal Medicine in Scott Afb, IL

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Dr Adam Kirk Derrickson, MD is a medicare enrolled "Internal Medicine" physician in Scott Afb, Illinois. His current practice location is 310 W Losey St, Scott Afb, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 256-7799.

Dr Adam Kirk Derrickson is licensed to practice in Illinois (license number 036.123597) 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 1265525414.

Contact Information

Dr Adam Kirk Derrickson, MD
310 W Losey St,
Scott Afb, IL 62225-5250
(618) 256-7799
Not Available

Map and Direction




Physician's Profile

Full NameDr Adam Kirk Derrickson
GenderMale
SpecialityInternal Medicine
Location310 W Losey St, Scott Afb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265525414
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 11/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6709910813
  • Enrollment ID: I20141226000027

Medical Identifiers

Medical identifiers for Dr Adam Kirk Derrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265525414NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine TRAINING LICENSE (Ohio)Secondary
207R00000XInternal Medicine 036.123597 (Illinois)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 Adam Kirk Derrickson 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
Dr Adam Kirk Derrickson, MD
310 W Losey St,
Scott Afb, IL 62225-5250

Ph: () -		Dr Adam Kirk Derrickson, MD
310 W Losey St,
Scott Afb, IL 62225-5250

Ph: (618) 256-7799

Reviews and Comments


Internal Medicine Doctors in Scott Afb, IL

Kenneth Paul Mcdonnell, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 203 W Losey St, Suite 1624, Scott Afb, IL 62225
Phone: 618-206-2225    
Assy Yacoub, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 W Losey St, Scott Afb, IL 62225
Phone: 618-256-3434    

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.