Derek Paul Axibal, MD is a medicare enrolled "Orthopaedic Surgery" physician in Hastings, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Pennock Hospital, Spectrum Health Primary Care Partners and his current practice location is
840 Cook Rd, Hastings, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 945-9520.
Derek Paul Axibal is licensed to practice in Michigan (license number 4301501710) 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 1598183196.
Physician's Profile
Full Name | Derek Paul Axibal |
---|
Gender | Male |
---|
Speciality | Orthopedic Surgery |
---|
Experience | 10 Years |
---|
Location | 840 Cook Rd, Hastings, Michigan |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Derek Paul Axibal graduated from medical school in 2014
NPI Data:
- NPI Number: 1598183196
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 03/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880916493
- Enrollment ID: I20200807002067
Medical Identifiers
Medical identifiers for Derek Paul Axibal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598183196 | NPI | - | NPPES |
0397730007 | Other | NC | NSC# |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2019-00572 (North Carolina) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 4301501710 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | 4301501710 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pennock Hospital | 4587551015 | 41 |
Spectrum Health Primary Care Partners | 4587568647 | 1590 |
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 Paul Axibal allows following entities to bill medicare on his behalf.
Entity Name | Spectrum Health Primary Care Partners |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
---|
Entity Name | Pennock Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595 |
---|
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 Paul Axibal 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 |
Derek Paul Axibal, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Derek Paul Axibal, MD 840 Cook Rd, Hastings, MI 49058-9616 Ph: (269) 945-9520 |
Reviews and Comments