Dr David Ronald Derr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Madison, Mississippi. His current practice location is
807 Steels Pointe, Madison, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 331-5934.
Dr David Ronald Derr is licensed to practice in Tennessee (license number 44204) 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 1487683991.
Physician's Profile
| Full Name | Dr David Ronald Derr |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 807 Steels Pointe, Madison, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487683991
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597712422
- Enrollment ID: I20090508000382
Medical Identifiers
Medical identifiers for Dr David Ronald Derr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487683991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 44204 (Tennessee) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 18738 (Mississippi) | Secondary |
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. Dr David Ronald Derr allows following entities to bill medicare on his behalf.
| Entity Name | Radiology Imaging Associates of Oak Ridge PC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245290857 PECOS PAC ID: 4082696273 Enrollment ID: O20040602000724 |
|---|
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 David Ronald Derr 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 David Ronald Derr, MD 601 Dodds Ave, Chattanooga, TN 37404-3911 Ph: (423) 826-8220 | Dr David Ronald Derr, MD 807 Steels Pointe, Madison, MS 39110 Ph: (601) 331-5934 |
Reviews and Comments