Dr Dereck Davis, in Jackson, MS - Medicare Pediatric Medicine

Dr Dereck Davis, is a medicare enrolled "Pediatrics" physician in Jackson, Mississippi. He went to University Of South Alabama College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2600 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5220.

Dr Dereck Davis is licensed to practice in Mississippi (license number 18418) 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 1174567580.

Contact Information

	Dr Dereck Davis,
	2600 N State St, Jackson, MS 39216-4301
	(601) 984-5220
	(601) 984-5279

Map and Direction

Physician's Profile

Full Name	Dr Dereck Davis
Gender	Male
Speciality	Pediatric Medicine
Experience	23 Years
Location	2600 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dereck Davis attended and graduated from University Of South Alabama College Of Medicine in 2001

NPI Data:

NPI Number: 1174567580
Provider Enumeration Date: 06/15/2006
Last Update Date: 08/11/2014

Medicare PECOS Information:

PECOS PAC ID: 7810965167
Enrollment ID: I20040923000734

Medical Identifiers

Medical identifiers for Dr Dereck Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174567580	NPI	-	NPPES
02170804	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2007-00180 (North Carolina)	Secondary
208000000X	Pediatrics	18418 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	804

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 Dereck Davis allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Dereck Davis 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 Dereck Davis, 2600 N State St, Jackson, MS 39216-4301 Ph: (601) 984-5220	Dr Dereck Davis, 2600 N State St, Jackson, MS 39216-4301 Ph: (601) 984-5220

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151
Sitesh Ranen Roy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5249
Dr. Kathryn R Farrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 River Bend Pl, Suite C, Jackson, MS 39232 Phone: 601-957-7345 Fax: 769-251-5429

Dr Dereck Davis, - Medicare Pediatric Medicine in Jackson, MS