Dr Derek Glenn Bazemore Jr, MD - Medicare Emergency Medicine in Miami, FL

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Dr Derek Glenn Bazemore Jr, MD is a medicare enrolled "Family Medicine" physician in Miami, Florida. He went to New York University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Paragon Contracting Services Llc and his current practice location is 12750 Sw 128th St Ste 108, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (917) 750-5709.

Dr Derek Glenn Bazemore Jr is licensed to practice in Florida (license number ME107380) 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 1639495245.

Contact Information

Dr Derek Glenn Bazemore Jr, MD
12750 Sw 128th St Ste 108,
Miami, FL 33186-5380
(917) 750-5709
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek Glenn Bazemore Jr
GenderMale
SpecialityEmergency Medicine
Experience19 Years
Location12750 Sw 128th St Ste 108, Miami, Florida
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 Glenn Bazemore Jr attended and graduated from New York University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1639495245
  • Provider Enumeration Date: 04/08/2010
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799809067
  • Enrollment ID: I20100824000799

Medical Identifiers

Medical identifiers for Dr Derek Glenn Bazemore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639495245NPI-NPPES
002509700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME107380 (Florida)Secondary
208D00000XGeneral Practice ME107380 (Florida)Secondary
207Q00000XFamily Medicine ME107380 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Shore Medical CenterMiami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Contracting Services Llc3971417825266

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 Glenn Bazemore Jr allows following entities to bill medicare on his behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NameM&v San Jose Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598318495
PECOS PAC ID: 6608291034
Enrollment ID: O20200803001299
Entity NameDerek Bazemore Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487344875
PECOS PAC ID: 7416313382
Enrollment ID: O20230518002058

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 Glenn Bazemore Jr 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 Glenn Bazemore Jr, MD
55 Sw 9th St Apt 1405,
Miami, FL 33130-3992

Ph: (917) 750-5709		Dr Derek Glenn Bazemore Jr, MD
12750 Sw 128th St Ste 108,
Miami, FL 33186-5380

Ph: (917) 750-5709

Reviews and Comments


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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.