Dr J Derek Hollingsworth, DO is a
Family Medicine - Addiction Medicine physician based in Millwood, West Virginia. Dr J Derek Hollingsworth is licensed to practice in Montana (license number 27036) and his current practice location is 6775 Point Pleasant Rd, Millwood, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 273-0112.
NPI number for Dr J Derek Hollingsworth is 1336192269 and his current mailing address is 6775 Point Pleasant Rd, Millwood, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336192269.
Physician's Profile
| Full Name | Dr J Derek Hollingsworth |
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| Gender | Male |
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| Speciality | Family Medicine - Addiction Medicine |
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| Location | 6775 Point Pleasant Rd, Millwood, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336192269
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 12/19/2016
Medical Identifiers
Medical identifiers for Dr J Derek Hollingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336192269 | NPI | - | NPPES |
| 2246895 | Other | OH | MOLINA MEDICAID |
| 000000185452 | Other | OH | UNISON MEDICAID |
| 3002978000 | Medicaid | WV | |
| 27036 | Other | MT | STATE LICENSE |
| 930106977 | Other | | RR MEDICARE |
| 1336192269 | Other | | NPI |
| 001714124 | Other | | MOUNTAIN STATE BCBS |
| 516066972 | Other | OH | TRI CARE |
| 000000205910 | Other | | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 34007332 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 2360 (West Virginia) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 27036 (Montana) | 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 J Derek Hollingsworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr J Derek Hollingsworth, DO
6775 Point Pleasant Rd,
Millwood, WV 25262-8100
Ph: (304) 273-0112 | Dr J Derek Hollingsworth, DO
6775 Point Pleasant Rd,
Millwood, WV 25262-8100
Ph: (304) 273-0112 |
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