Mr Derrick L Smith, MD in Rancho Mirage, CA

Mr Derrick L Smith, MD is a medicare enrolled "Family Medicine" physician in Rancho Mirage, California. His current practice location is 69730 Highway 111 Ste 109, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 778-6120.

Mr Derrick L Smith is licensed to practice in California (license number G50178) 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 1780679894.

Contact Information

	Mr Derrick L Smith, MD
	69730 Highway 111 Ste 109, Rancho Mirage, CA 92270-2873
	(760) 778-6120
	(760) 406-6077

Map and Direction

Physician's Profile

Full Name	Mr Derrick L Smith
Gender	Male
Speciality	Family Medicine
Location	69730 Highway 111 Ste 109, Rancho Mirage, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780679894
Provider Enumeration Date: 09/14/2005
Last Update Date: 09/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8527121318
Enrollment ID: I20090105000401

Medical Identifiers

Medical identifiers for Mr Derrick L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780679894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	G50178 (California)	Secondary
208600000X	Surgery	G50178 (California)	Secondary
207Q00000X	Family Medicine	G50178 (California)	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. Mr Derrick L Smith allows following entities to bill medicare on his behalf.

Entity Name	Bartz-altadonna Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811279763 PECOS PAC ID: 6204090178 Enrollment ID: O20120702000123

Entity Name	Premier Urgent Care Centers Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316338619 PECOS PAC ID: 9638499668 Enrollment ID: O20150514002313

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. Mr Derrick L Smith 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
Mr Derrick L Smith, MD Po Box 1642, Wildomar, CA 92595-1642 Ph: (877) 240-3645	Mr Derrick L Smith, MD 69730 Highway 111 Ste 109, Rancho Mirage, CA 92270-2873 Ph: (760) 778-6120

Reviews and Comments

Family Medicine Doctors in Rancho Mirage, CA

David Harvey Stoltzman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Wright Bldg 409, Rancho Mirage, CA 92270 Phone: 760-346-0663 Fax: 760-346-3523
Lilia Elizabeth Lopez, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35900 Bob Hope Dr Ste 230, Rancho Mirage, CA 92270 Phone: 760-324-2800 Fax: 760-324-2811
Rajiv Tailor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8731 Fax: 760-837-8732
Sunnyline Vendiola, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 72780 Country Club Dr, Bldg B 205-b, Rancho Mirage, CA 92270 Phone: 760-834-7900 Fax: 760-834-7901
Ursula J. Simonoski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-4504
Mr. Christopher Vega Flores, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 72780 Country Club Dr Ste 205, Rancho Mirage, CA 92270 Phone: 760-834-7987 Fax: 607-834-7988
Aimmee S Chin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-834-7920 Fax: 760-834-7921

Mr Derrick L Smith, MD - Medicare Family Medicine in Rancho Mirage, CA