Derrick S Tooth, MD is a medicare enrolled "Urology" physician in Manchester, Maine. 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.
Physician's Profile
Full Name | Derrick S Tooth |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1053 Western Ave, Manchester, Maine |
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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. |
Medical Education and Training:
- Derrick S Tooth attended and graduated from in
NPI Data:
- NPI Number: 1639260847
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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