Derek Mittleider, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Cocoa, Florida. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2004 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Brevard Physician Associates Pllc, Health First Medical Group Llc and his current practice location is
2300 State Road 524 Ste 106, Cocoa, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 321-3001.
Derek Mittleider is licensed to practice in Florida (license number ME14152) 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 1538234414.
Physician's Profile
| Full Name | Derek Mittleider |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 21 Years |
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| Location | 2300 State Road 524 Ste 106, Cocoa, Florida |
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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:
- Derek Mittleider attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2004
NPI Data:
- NPI Number: 1538234414
- Provider Enumeration Date: 11/23/2006
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749305977
- Enrollment ID: I20190918001900
Medical Identifiers
Medical identifiers for Derek Mittleider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538234414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | ME142152 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME14152 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brevard Physician Associates Pllc | 1850535048 | 197 |
| Health First Medical Group Llc | 7416100672 | 689 |
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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. Derek Mittleider allows following entities to bill medicare on his behalf.
| Entity Name | Health First Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135 |
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| Entity Name | Brevard Physician Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598008955
PECOS PAC ID: 1850535048
Enrollment ID: O20130909000619 |
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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. Derek Mittleider 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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Derek Mittleider, MD
2300 State Road 524 Ste 106,
Cocoa, FL 32926-5894
Ph: (321) 321-3001 | Derek Mittleider, MD
2300 State Road 524 Ste 106,
Cocoa, FL 32926-5894
Ph: (321) 321-3001 |
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