Derek Boyd Southwick, MD in Portland, IN - Medicare Family Practice

Derek Boyd Southwick, MD is a medicare enrolled "Family Medicine" physician in Portland, Indiana. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Iu Health Medical Group Llc and his current practice location is 500 W Votaw St, Portland, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 741-1515.

Derek Boyd Southwick is licensed to practice in Indiana (license number 01098270A) 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 1801647284.

Contact Information

	Derek Boyd Southwick, MD
	500 W Votaw St, Portland, IN 47371-1322
	(765) 741-1515
	Not Available

Map and Direction

Physician's Profile

Full Name	Derek Boyd Southwick
Gender	Male
Speciality	Family Practice
Experience	2 Years
Location	500 W Votaw St, Portland, Indiana
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:

Derek Boyd Southwick graduated from medical school in 2024

NPI Data:

NPI Number: 1801647284
Provider Enumeration Date: 04/01/2024
Last Update Date: 03/30/2026

Medicare PECOS Information:

PECOS PAC ID: 4183167869
Enrollment ID: I20260224003450

Medical Identifiers

Medical identifiers for Derek Boyd Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801647284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01098270A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iu Health Medical Group Llc	9638617913	4320

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 Boyd Southwick 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
Derek Boyd Southwick, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Derek Boyd Southwick, MD 500 W Votaw St, Portland, IN 47371-1322 Ph: (765) 741-1515

Reviews and Comments

Family Medicine Doctors in Portland, IN

J Frank Vormohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-7616 Fax: 260-726-8165
David M Brown, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131
Dr. Daniel J Livera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822
Stephanie C Sharpe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529
Dr. Som Dutt Tyagi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131
Molly Jane Shaner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 765-741-1515
Leonard J Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857

Derek Boyd Southwick, MD - Medicare Family Practice in Portland, IN