Kenneth L Derrington, MD - Family Medicine in Gravois Mills, MO

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Kenneth L Derrington, MD is a Family Medicine physician based in Gravois Mills, Missouri. Kenneth L Derrington is licensed to practice in Missouri (license number R9A11) and his current practice location is 156 Missouri Blvd Ste B, Gravois Mills, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 374-5263.

NPI number for Kenneth L Derrington is 1124023940 and his current mailing address is Po Box 1519, Laurie, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124023940.

Contact Information

Kenneth L Derrington, MD
156 Missouri Blvd Ste B,
Gravois Mills, MO 65037-5394
(573) 374-5263
(573) 374-4933

Map and Direction




Physician's Profile

Full NameKenneth L Derrington
GenderMale
SpecialityFamily Medicine
Location156 Missouri Blvd Ste B, Gravois Mills, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124023940
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 03/19/2018

Medical Identifiers

Medical identifiers for Kenneth L Derrington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124023940NPI-NPPES
201366010MedicaidMO
R9A11OtherMOMO LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R9A11 (Missouri)Primary

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. Kenneth L Derrington is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth L Derrington, MD
Po Box 1519,
Laurie, MO 65038-1519

Ph: (573) 374-5800		Kenneth L Derrington, MD
156 Missouri Blvd Ste B,
Gravois Mills, MO 65037-5394

Ph: (573) 374-5263

Reviews and Comments


Family Medicine Doctors in Gravois Mills, MO

Dr. Elizabeth Nichole Bowman, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Main St, Gravois Mills, MO 65037
Phone: 877-406-2662    
Dr. Justin Daniel Terrell, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 N Main St, Gravois Mills, MO 65037
Phone: 877-406-2662    Fax: 573-207-2773

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.