Derrick Wansom, MD - Medicare Pain Management in San Marcos, TX

Derrick Wansom, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in San Marcos, Texas. He went to Wayne State University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Lone Star Spine And Pain Institute Llc and his current practice location is 1320 Wonder World Dr Ste 106, San Marcos, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 851-1165.

Derrick Wansom is licensed to practice in Texas (license number Q9077) 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 1306124912.

Contact Information

Derrick Wansom, MD
1320 Wonder World Dr Ste 106,
San Marcos, TX 78666-7558
(512) 851-1165
(833) 925-2433

Map and Direction




Physician's Profile

Full NameDerrick Wansom
GenderMale
SpecialityPain Management
Experience13 Years
Location1320 Wonder World Dr Ste 106, San Marcos, Texas
Accepts Medicare AssignmentsYes. 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 Wansom attended and graduated from Wayne State University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1306124912
  • Provider Enumeration Date: 07/31/2011
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153625470
  • Enrollment ID: I20160810000199

Medical Identifiers

Medical identifiers for Derrick Wansom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306124912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine Q9077 (Texas)Primary
208VP0014XPain Medicine - Interventional Pain Medicine Q9077 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lone Star Spine And Pain Institute Llc44860323493

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 Wansom allows following entities to bill medicare on his behalf.
Entity NameLone Star Spine And Pain Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851036347
PECOS PAC ID: 4486032349
Enrollment ID: O20220606000218

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 Wansom 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 AddressPractice Location Address
Derrick Wansom, MD
1320 Wonder World Dr Ste 106,
San Marcos, TX 78666-7558

Ph: (512) 851-1165
Derrick Wansom, MD
1320 Wonder World Dr Ste 106,
San Marcos, TX 78666-7558

Ph: (512) 851-1165

Reviews and Comments


Anesthesiology Doctors in San Marcos, TX

Dr. John Christopher Smith, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666
Phone: 512-753-3627    Fax: 254-200-4090
Dr. Charles Thomas Porter Jr., MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666
Phone: 512-753-3627    Fax: 254-200-4090

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.