Dr Derrick R Hamilton, MD is a medicare enrolled "Pediatrics" physician in Somerville, Tennessee. His current practice location is
214 Lakeview Rd, Suite 2, Somerville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 516-4082.
Dr Derrick R Hamilton is licensed to practice in Tennessee (license number 38455) 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 1730189945.
Physician's Profile
| Full Name | Dr Derrick R Hamilton |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 214 Lakeview Rd, Somerville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730189945
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 04/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 9638144488
- Enrollment ID: I20130610000037
Medical Identifiers
Medical identifiers for Dr Derrick R Hamilton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730189945 | NPI | - | NPPES |
| 5440910 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 38455 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 38455 (Tennessee) | Primary |
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 Derrick R Hamilton 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 Derrick R Hamilton, MD
214 Lakeview Rd, Suite 2,
Somerville, TN 38068-9737
Ph: (901) 516-4082 | Dr Derrick R Hamilton, MD
214 Lakeview Rd, Suite 2,
Somerville, TN 38068-9737
Ph: (901) 516-4082 |
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