Dr Gopala Krishna Derebail, MD - Medicare Emergency Medicine in Albany, GA

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Dr Gopala Krishna Derebail, MD is a medicare enrolled "Emergency Medicine" physician in Albany, Georgia. His current practice location is 417 W 3rd Ave, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 317-2207.

Dr Gopala Krishna Derebail is licensed to practice in Georgia (license number 014307) 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 1194710723.

Contact Information

Dr Gopala Krishna Derebail, MD
417 W 3rd Ave,
Albany, GA 31701-1943
(229) 317-2207
(229) 317-2214

Map and Direction




Physician's Profile

Full NameDr Gopala Krishna Derebail
GenderMale
SpecialityEmergency Medicine
Location417 W 3rd Ave, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194710723
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 05/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8123931128
  • Enrollment ID: I20040202000646

Medical Identifiers

Medical identifiers for Dr Gopala Krishna Derebail such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194710723NPI-NPPES
000077316MMedicaidGA
52635244002OtherGABCBS
000077316QMedicaidGA
364830OtherGAWELLCARE
511I930105OtherGAGA URGENT CARE MCARE ID
52635244-005OtherGABCBS
000077316TOtherGAGA URGENT CARE MCAID ID
930123518OtherGARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 014307 (Georgia)Primary

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 Gopala Krishna Derebail allows following entities to bill medicare on his behalf.
Entity NameSouthwestern Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356336986
PECOS PAC ID: 3779496765
Enrollment ID: O20031106000378
Entity NameInphynet Primary Care Physicians Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600
Entity NamePhoebe Putney Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992789721
PECOS PAC ID: 4486559549
Enrollment ID: O20031203000397
Entity NamePhoebe Worth Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760460448
PECOS PAC ID: 0840104527
Enrollment ID: O20040205000529
Entity NameGeorgia Urgent Care, - Alpharetta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922133768
PECOS PAC ID: 4183707714
Enrollment ID: O20080206000004
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NamePalmyra Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558635003
PECOS PAC ID: 5799947503
Enrollment ID: O20120424000168

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 Gopala Krishna Derebail 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 Gopala Krishna Derebail, MD
Po Box 408,
Albany, GA 31702-0408

Ph: (205) 437-6098		Dr Gopala Krishna Derebail, MD
417 W 3rd Ave,
Albany, GA 31701-1943

Ph: (229) 317-2207

Reviews and Comments


Emergency Medicine Doctors in Albany, GA

Dr. Andrew George Misulia, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-317-2207    Fax: 229-317-2214
Gregory Walter, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Palmyra Rd, Albany, GA 31701
Phone: 229-434-2000    
Dr. Elmera V Dejarme, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-317-2207    Fax: 229-317-2214
Dr. Alfred Lee Woodard, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-317-2207    Fax: 229-317-2214
Dr. Christopher Andrew Ham, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-317-2207    Fax: 229-317-2214
Larry Alan Medley,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-312-1000    

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.