Dr Derick E Vergne, MD - Medicare Psychiatry & Neurology in Acton, MA

Dr Derick E Vergne, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Acton, Massachusetts. His current practice location is 179 Great Rd Ste 201, Acton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (857) 239-1911.

Dr Derick E Vergne is licensed to practice in Massachusetts (license number 249376) 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 1013066083.

Contact Information

Dr Derick E Vergne, MD
179 Great Rd Ste 201,
Acton, MA 01720-5774
(857) 239-1911
(617) 544-0937

Map and Direction




Physician's Profile

Full NameDr Derick E Vergne
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location179 Great Rd Ste 201, Acton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013066083
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305928110
  • Enrollment ID: I20111229000151

Medical Identifiers

Medical identifiers for Dr Derick E Vergne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013066083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 249376 (Massachusetts)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 Derick E Vergne allows following entities to bill medicare on his behalf.
Entity NameDerick E Vergne Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003536798
PECOS PAC ID: 2062888688
Enrollment ID: O20221021001024

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 Derick E Vergne 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 Derick E Vergne, MD
179 Great Rd, Ste 201,
Acton, MA 01720-5774

Ph: (857) 239-1911
Dr Derick E Vergne, MD
179 Great Rd Ste 201,
Acton, MA 01720-5774

Ph: (857) 239-1911

Reviews and Comments


Psychiatry & Neurology Doctors in Acton, MA

Dr. Kenneth Minkoff, MD
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Dr. Peter Joseph Musliner, MD
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Phone: 508-834-3183    Fax: 508-532-1168
Alison Mary Sheridan, M.D.
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Practice Location: 518 Great Rd, Acton, MA 01720
Phone: 978-263-4878    Fax: 978-635-0386
Dr. Eugene Victor Beresin, MD
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Practice Location: 80 School St, Acton, MA 01720
Phone: 617-726-8471    
Devin Gibbs,
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Medicare: Not Enrolled in Medicare
Practice Location: 518 Great Rd, Acton, MA 01720
Phone: 978-263-4878    

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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.

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