Derek Michael Donovan, MD in Fruita, CO - Medicare Emergency Medicine

Derek Michael Donovan, MD is a medicare enrolled "Emergency Medicine" physician in Fruita, Colorado. His current practice location is 300 W Ottley Ave, Fruita, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 858-2119.

Derek Michael Donovan is licensed to practice in Colorado (license number DR.0067052) 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 1902293376.

Contact Information

	Derek Michael Donovan, MD
	300 W Ottley Ave, Fruita, CO 81521-2118
	(970) 858-2119
	(970) 858-2743

Map and Direction

Physician's Profile

Full Name	Derek Michael Donovan
Gender	Male
Speciality	Emergency Medicine
Location	300 W Ottley Ave, Fruita, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902293376
Provider Enumeration Date: 04/23/2015
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4183923378
Enrollment ID: I20180718001736

Medical Identifiers

Medical identifiers for Derek Michael Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902293376	NPI	-	NPPES
1033088	Medicaid	VT
3112479	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	DR.0067052 (Colorado)	Primary
207P00000X	Emergency Medicine	18856 (New Hampshire)	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. Derek Michael Donovan allows following entities to bill medicare on his behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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 Michael Donovan 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 Michael Donovan, MD Po Box 130, Fruita, CO 81521-0130 Ph: (970) 858-2186	Derek Michael Donovan, MD 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-2119

Reviews and Comments

Emergency Medicine Doctors in Fruita, CO

Megan H Trzaskoma, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2186 Fax: 970-858-2208
Laura Michelle Ross, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2186 Fax: 970-858-2208
Julie A Query, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-3900 Fax: 970-858-2202
Christopher Eugene Taggart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-3900 Fax: 970-858-2202
Dr. Jared Alan Hall, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2186 Fax: 970-858-2208

Derek Michael Donovan, MD - Medicare Emergency Medicine in Fruita, CO