Derrick W Taylor, MD is a medicare enrolled "Internal Medicine" physician in Fitzgerald, Georgia. He went to Mercer University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Phoebe Physician Group Inc and his current practice location is
110 Norman Dorminy Dr, Suite B, Fitzgerald, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 423-2058.
Derrick W Taylor is licensed to practice in Georgia (license number 053043) 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 1811983091.
Physician's Profile
| Full Name | Derrick W Taylor |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 110 Norman Dorminy Dr, Fitzgerald, Georgia |
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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:
- Derrick W Taylor attended and graduated from Mercer University School Of Medicine in 1997
NPI Data:
- NPI Number: 1811983091
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 5193706315
- Enrollment ID: I20040525000915
Medical Identifiers
Medical identifiers for Derrick W Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811983091 | NPI | - | NPPES |
| P00339270 | Other | GA | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 053043 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phoebe Physician Group Inc | 8426112350 | 351 |
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 W Taylor allows following entities to bill medicare on his behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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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. Derrick W Taylor 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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Derrick W Taylor, MD
Po Box 929, 110 Norman Dorminy Dr Suite B,
Fitzgerald, GA 31750
Ph: (229) 423-2058 | Derrick W Taylor, MD
110 Norman Dorminy Dr, Suite B,
Fitzgerald, GA 31750
Ph: (229) 423-2058 |
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