Dr Derrick Lamar Reedus Sr, MD - Medicare Urology in Newark, OH

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Dr Derrick Lamar Reedus Sr, MD is a medicare enrolled "Urology" physician in Newark, Ohio. He went to Northeastern Ohio University College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Kettering Independent Medical Group Inc, Licking Memorial Professional Corporation and his current practice location is 1980 Tamarack Rd, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (220) 564-7520.

Dr Derrick Lamar Reedus Sr is licensed to practice in Ohio (license number 35.090640) 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 1194929463.

Contact Information

Dr Derrick Lamar Reedus Sr, MD
1980 Tamarack Rd,
Newark, OH 43055-1363
(220) 564-7520
(220) 564-7521

Map and Direction




Physician's Profile

Full NameDr Derrick Lamar Reedus Sr
GenderMale
SpecialityUrology
Experience22 Years
Location1980 Tamarack Rd, Newark, Ohio
Accepts Medicare AssignmentsYes. 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 Derrick Lamar Reedus Sr attended and graduated from Northeastern Ohio University College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1194929463
  • Provider Enumeration Date: 06/12/2007
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022197482
  • Enrollment ID: I20080509000422

Medical Identifiers

Medical identifiers for Dr Derrick Lamar Reedus Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194929463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 35.090640 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Licking Memorial HospitalNewark, OHHospital
Mount Carmel St Ann'sWesterville, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936586
Licking Memorial Professional Corporation6204740731200

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 Derrick Lamar Reedus Sr allows following entities to bill medicare on his behalf.
Entity NameLicking Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072265
PECOS PAC ID: 6204740731
Enrollment ID: O20031203000131
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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 Derrick Lamar Reedus Sr 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 Derrick Lamar Reedus Sr, MD
1320 W Main St,
Newark, OH 43055-1822

Ph: (220) 564-4027		Dr Derrick Lamar Reedus Sr, MD
1980 Tamarack Rd,
Newark, OH 43055-1363

Ph: (220) 564-7520

Reviews and Comments


Urology Doctors in Newark, OH

Dr. Roy Reginald Brown Jr., M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1980 Tamarack Rd, Newark, OH 43055
Phone: 220-564-7520    Fax: 220-564-7521
William Alvin Stallworth, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1272 W Main St Ste 401, Newark, OH 43055
Phone: 220-564-1750    Fax: 220-564-1751
Dr. Donald J Lewis, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1902 Tamarack Rd, Newark, OH 43055
Phone: 740-344-1576    Fax: 740-344-3514

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.