Derrick S Tooth, MD in Manchester, ME

Derrick S Tooth, MD is a medicare enrolled "Urology" physician in Manchester, Maine. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mainegeneral Medical Center and his current practice location is 1053 Western Ave, Manchester, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 622-6319.

Derrick S Tooth is licensed to practice in Maine (license number 014663) 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 1639260847.

Contact Information

	Derrick S Tooth, MD
	1053 Western Ave, Manchester, ME 04351-3403
	(207) 622-6319
	(207) 622-6654

Map and Direction

Physician's Profile

Full Name	Derrick S Tooth
Gender	Male
Speciality	Urology
Experience	33 Years
Location	1053 Western Ave, Manchester, Maine
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:

Derrick S Tooth graduated from medical school in 1991

NPI Data:

NPI Number: 1639260847
Provider Enumeration Date: 09/27/2006
Last Update Date: 12/05/2012

Medicare PECOS Information:

PECOS PAC ID: 1153368253
Enrollment ID: I20050411000699

Medical Identifiers

Medical identifiers for Derrick S Tooth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639260847	NPI	-	NPPES
255890099	Medicaid	ME
030440	Other	ME	ANTHEM
1041053	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	014663 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Maine General Medical Center	Augusta, ME	Hospital
Penobscot Bay Medical Center	Rockport, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainegeneral Medical Center	1254245715	489

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. Derrick S Tooth allows following entities to bill medicare on his behalf.

Entity Name	Mainegeneral Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718

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. Derrick S Tooth 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
Derrick S Tooth, MD 9 Pleasant Street, Suite 2, Oakland, ME 04963 Ph: (207) 465-2700	Derrick S Tooth, MD 1053 Western Ave, Manchester, ME 04351-3403 Ph: (207) 622-6319

Derrick S Tooth, MD - Medicare Urology in Manchester, ME