Dr Derek S Mongold, MD in Antioch, CA

Dr Derek S Mongold, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Antioch, California. He went to West Virginia University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 3400 Delta Fair Blvd, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 777-6399.

Dr Derek S Mongold is licensed to practice in California (license number A122589) 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 1700099264.

Contact Information

	Dr Derek S Mongold, MD
	3400 Delta Fair Blvd, Antioch, CA 94509-4004
	(925) 777-6399
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Derek S Mongold
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	3400 Delta Fair Blvd, Antioch, California
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 S Mongold attended and graduated from West Virginia University School Of Medicine in 2005

NPI Data:

NPI Number: 1700099264
Provider Enumeration Date: 05/08/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6507999794
Enrollment ID: I20150827002191

Medical Identifiers

Medical identifiers for Dr Derek S Mongold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700099264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A122589 (California)	Secondary
207Q00000X	Family Medicine	22903 (West Virginia)	Secondary
207Q00000X	Family Medicine	0101251845 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	0101251845 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	22903 (West Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A122589 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 S Mongold allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 S Mongold 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 S Mongold, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: () -	Dr Derek S Mongold, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 777-6399

Reviews and Comments

Psychiatry & Neurology Doctors in Antioch, CA

Richard Lee Russell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Carolyn S. Manson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Dr. Seth Christopher Thomas, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Department Of Emergency Medicine, Antioch, CA 94509 Phone: 925-779-7200
Dr. Stacie Daniels, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-3840 Fax: 925-813-3841
Kyle P. Owen, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2213 Buchanan Rd, Suite 203, Antioch, CA 94509 Phone: 925-779-5810
Dr. Li Lan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531 Phone: 925-777-6300
Nnennaya Ekwutosi Nwokeji, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531 Phone: 925-325-8083

Dr Derek S Mongold, MD - Medicare Psychiatry in Antioch, CA