Dr Michael D Dersam, MD - Medicare Orthopedic Surgery in Phoenix, AZ

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Dr Michael D Dersam, MD is a medicare enrolled "Orthopaedic Surgery" physician in Phoenix, Arizona. He went to University Of Arizona College Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Honorhealth Ambulatory, Yuma Regional Medical Center and his current practice location is 2222 E Highland Ave Ste 425, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 588-4040.

Dr Michael D Dersam is licensed to practice in Arizona (license number 30263) 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 1477539302.

Contact Information

Dr Michael D Dersam, MD
2222 E Highland Ave Ste 425,
Phoenix, AZ 85016-4881
(602) 588-4040
(602) 588-4034

Map and Direction




Physician's Profile

Full NameDr Michael D Dersam
GenderMale
SpecialityOrthopedic Surgery
Experience30 Years
Location2222 E Highland Ave Ste 425, Phoenix, Arizona
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 Michael D Dersam attended and graduated from University Of Arizona College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1477539302
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 06/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5991791493
  • Enrollment ID: I20040422000345

Medical Identifiers

Medical identifiers for Dr Michael D Dersam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477539302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 30263 (Arizona)Primary
174400000XSpecialist 30263 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yuma Regional Medical CenterYuma, AZHospital
Scottsdale Thompson Peak Medical CenterScottsdale, AZHospital
Honorhealth Scottsdale Shea Medical CenterScottsdale, AZHospital
John C. Lincoln North Mountain HospitalPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Honorhealth Ambulatory5991603110615
Yuma Regional Medical Center2062314826388

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 Michael D Dersam allows following entities to bill medicare on his behalf.
Entity NameYuma Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194706655
PECOS PAC ID: 2062314826
Enrollment ID: O20040122000526
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449
Entity NameDistrict Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336472448
PECOS PAC ID: 7315086691
Enrollment ID: O20091125000583
Entity NameHrmc, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003139387
PECOS PAC ID: 3072641265
Enrollment ID: O20100508000148

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 Michael D Dersam 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 Michael D Dersam, MD
2500 W Utopia Rd Ste 100,
Phoenix, AZ 85027-4172

Ph: (623) 683-4463		Dr Michael D Dersam, MD
2222 E Highland Ave Ste 425,
Phoenix, AZ 85016-4881

Ph: (602) 588-4040

Reviews and Comments


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Dr. Kishore Tipirneni, M.D.
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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.