Dr Derek Brett Pollard, MD - Medicare Diagnostic Radiology in Cartersville, GA

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Dr Derek Brett Pollard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cartersville, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology Services Pc and his current practice location is 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 928-9759.

Dr Derek Brett Pollard is licensed to practice in Georgia (license number 049409) 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 1114976040.

Contact Information

Dr Derek Brett Pollard, MD
960 Joe Frank Harris Pkwy Se,
Cartersville, GA 30120-2129
(678) 928-9759
(678) 928-9759

Map and Direction




Physician's Profile

Full NameDr Derek Brett Pollard
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location960 Joe Frank Harris Pkwy Se, Cartersville, Georgia
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:
  • Dr Derek Brett Pollard attended and graduated from Medical College Of Georgia School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1114976040
  • Provider Enumeration Date: 05/08/2006
  • Last Update Date: 11/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5597702498
  • Enrollment ID: I20050412001316

Medical Identifiers

Medical identifiers for Dr Derek Brett Pollard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114976040NPI-NPPES
GRP1205OtherGAGROUP MEDICARE ID
734817502MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 049409 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tanner Medical Center - CarrolltonCarrollton, GAHospital
Tanner Medical Center Villa RicaVilla rica, GAHospital
Taylor Regional HospitalHawkinsville, GAHospital
Piedmont Henry HospitalStockbridge, GAHospital
Cartersville Medical CenterCartersville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Services Pc357745402450

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 Derek Brett Pollard allows following entities to bill medicare on his behalf.
Entity NameToccoa Clinic Medical Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609896885
PECOS PAC ID: 5597652164
Enrollment ID: O20040301000262
Entity NameSummit Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174572374
PECOS PAC ID: 3577454024
Enrollment ID: O20040323001388
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameTanner Imaging Center
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1154820876
PECOS PAC ID: 8325475056
Enrollment ID: O20200219000803
Entity NameSummit Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134984982
PECOS PAC ID: 9436597945
Enrollment ID: O20240403001695

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 Derek Brett Pollard 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 Derek Brett Pollard, MD
Po Box 200096,
Cartersville, GA 30120-9002

Ph: (678) 928-9759		Dr Derek Brett Pollard, MD
960 Joe Frank Harris Pkwy Se,
Cartersville, GA 30120-2129

Ph: (678) 928-9759

Reviews and Comments


Radiology Doctors in Cartersville, GA

Dr. Kevin Garrett Miller, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 678-928-9759    Fax: 678-928-9759
Adam Kyle Deal, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 770-386-1530    Fax: 770-607-1019
Dr. Daniel Andrew Ortiz, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 678-905-7053    
Dr. Robert E Kim, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 678-928-9759    Fax: 678-928-9759
Dr. James Darrell Darling, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 770-607-7339    Fax: 770-607-0789
Dr. Qiao Zhou, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Bowen Ct, Cartersville, GA 30120
Phone: 707-607-7339    Fax: 410-354-0186

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.