Dr Derek Miles, MD is a medicare enrolled "Urology" physician in Cleveland, Mississippi. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Bolivar Physician Practices Llc and his current practice location is
907 E Sunflower Rd, Suite 103, Cleveland, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 846-9990.
Dr Derek Miles is licensed to practice in Mississippi (license number 17441) 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 1407887391.
Physician's Profile
Full Name | Dr Derek Miles |
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Gender | Male |
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Speciality | Urology |
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Experience | 30 Years |
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Location | 907 E Sunflower Rd, Cleveland, Mississippi |
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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. |
Medical Education and Training:
- Dr Derek Miles attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1994
NPI Data:
- NPI Number: 1407887391
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466421375
- Enrollment ID: I20040928000646
Medical Identifiers
Medical identifiers for Dr Derek Miles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407887391 | NPI | - | NPPES |
09016081 | Medicaid | MS | |
0126078 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 17441 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bolivar Physician Practices Llc | 6305995895 | 16 |
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 Miles allows following entities to bill medicare on his behalf.
Entity Name | Bolivar Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274 |
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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. Dr Derek Miles 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 |
Dr Derek Miles, MD 907 E Sunflower Rd, Suite 103, Cleveland, MS 38732-2830 Ph: (662) 846-9990 | Dr Derek Miles, MD 907 E Sunflower Rd, Suite 103, Cleveland, MS 38732-2830 Ph: (662) 846-9990 |
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