Dr Darrell Jack Potter, MD - Medicare Orthopaedic Surgery in Kentwood, MI

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Dr Darrell Jack Potter, MD is a medicare enrolled "Orthopaedic Surgery" physician in Kentwood, Michigan. His current practice location is 5491 W Rosebud Ct Se, #4, Kentwood, Michigan. You can reach out to his office (for appointments etc.) via phone at (334) 322-3489.

Dr Darrell Jack Potter is licensed to practice in Michigan (license number 4301030727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265412605.

Contact Information

Dr Darrell Jack Potter, MD
5491 W Rosebud Ct Se, #4,
Kentwood, MI 49512-9464
(334) 322-3489
Not Available

Map and Direction




Physician's Profile

Full NameDr Darrell Jack Potter
GenderMale
SpecialityOrthopaedic Surgery
Location5491 W Rosebud Ct Se, Kentwood, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265412605
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 11/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739078478
  • Enrollment ID: I20111027000720

Medical Identifiers

Medical identifiers for Dr Darrell Jack Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265412605NPI-NPPES
51041005OtherALBCBS
41005MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2006-01651 (North Carolina)Secondary
207X00000XOrthopaedic Surgery MD-42830 (Iowa)Secondary
207X00000XOrthopaedic Surgery 2016005465 (Missouri)Secondary
207X00000XOrthopaedic Surgery 4301030727 (Michigan)Primary

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. Dr Darrell Jack Potter allows following entities to bill medicare on his behalf.
Entity NameScotland Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382

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. Dr Darrell Jack Potter 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
Dr Darrell Jack Potter, MD
6214 Sweet Clover Ln Se,
Caledonia, MI 49316-8291

Ph: (334) 322-3489		Dr Darrell Jack Potter, MD
5491 W Rosebud Ct Se, #4,
Kentwood, MI 49512-9464

Ph: (334) 322-3489

Reviews and Comments


Orthopaedic Surgery Doctors in Kentwood, MI


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.