Dr Derrick Roy Blythe, DC is a medicare enrolled "Chiropractor" provider in Booneville, Mississippi. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Chiropractic. His current practice location is
413 N 2nd St, Booneville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 728-7414.
Dr Derrick Roy Blythe is licensed to practice in Mississippi (license number 885) 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 1851473227.
Healthcare Provider's Profile
| Full Name | Dr Derrick Roy Blythe |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 31 Years |
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| Location | 413 N 2nd St, Booneville, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Derrick Roy Blythe graduated from medical school in 1993
NPI Data:
- NPI Number: 1851473227
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507888088
- Enrollment ID: I20051227000538
Medical Identifiers
Medical identifiers for Dr Derrick Roy Blythe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851473227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 885 (Mississippi) | 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 Derrick Roy Blythe allows following entities to bill medicare on his behalf.
| Provider Name | Booneville Chiropractic Clinic, P.a. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154697910
PECOS PAC ID: 0648431676
Enrollment ID: O20120418000293 |
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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 Roy Blythe 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 |
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Dr Derrick Roy Blythe, DC
413 N 2nd St,
Booneville, MS 38829-2031
Ph: (662) 728-7414 | Dr Derrick Roy Blythe, DC
413 N 2nd St,
Booneville, MS 38829-2031
Ph: (662) 728-7414 |
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