Dr Micah Jon Derby, DO in Tulsa, OK - Medicare Internal Medicine

Dr Micah Jon Derby, DO is a medicare enrolled "Internal Medicine" physician in Tulsa, Oklahoma. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Oklahoma State University and his current practice location is 6600 S Yale Ave Ste 650, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 502-7800.

Dr Micah Jon Derby is licensed to practice in Oklahoma (license number 5550) 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 1548605199.

Contact Information

	Dr Micah Jon Derby, DO
	6600 S Yale Ave Ste 650, Tulsa, OK 74136-3342
	(918) 502-7800
	(918) 502-7815

Map and Direction

Physician's Profile

Full Name	Dr Micah Jon Derby
Gender	Male
Speciality	Internal Medicine
Experience	11 Years
Location	6600 S Yale Ave Ste 650, Tulsa, Oklahoma
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 Micah Jon Derby graduated from medical school in 2013

NPI Data:

NPI Number: 1548605199
Provider Enumeration Date: 05/08/2013
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9032428032
Enrollment ID: I20151014000194

Medical Identifiers

Medical identifiers for Dr Micah Jon Derby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548605199	NPI	-	NPPES
200541190A	Medicaid	OK
200541190B	Medicaid	OK
442012YMSD	Other	OK	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5550 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oklahoma State University Medical Center	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oklahoma State University	2769739358	99

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 Micah Jon Derby allows following entities to bill medicare on his behalf.

Entity Name	Ctca Physicans Group Of Oklahoma, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053309591 PECOS PAC ID: 2163328774 Enrollment ID: O20031212000074

Entity Name	Oklahoma State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700994878 PECOS PAC ID: 2769739358 Enrollment ID: O20180730000192

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 Micah Jon Derby 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 Micah Jon Derby, DO 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3333 Ph: () -	Dr Micah Jon Derby, DO 6600 S Yale Ave Ste 650, Tulsa, OK 74136-3342 Ph: (918) 502-7800

Reviews and Comments

Internal Medicine Doctors in Tulsa, OK

Sarah Anne Shaw-dressler, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave Ste 100a, Tulsa, OK 74136 Phone: 918-494-8500 Fax: 918-307-5578
Julia Margaret Kwon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1705 E 19th St Ste 302, Tulsa, OK 74104 Phone: 918-748-7585 Fax: 918-748-7539
Peter Madden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Thao Tran, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E. 41st Street, Tulsa, OK 74135 Phone: 918-619-4400
Prasoonkumar Yendluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-1900 Fax: 918-494-6303
Robert Peter Aran, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6160 S Yale Ave Ste 100, Tulsa, OK 74136 Phone: 918-497-3300 Fax: 918-497-3365
Robert Dean Okada, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6151 S Yale Ave, Ste 304, Tulsa, OK 74136 Phone: 918-494-5300 Fax: 918-494-5455

Dr Micah Jon Derby, DO - Medicare Internal Medicine in Tulsa, OK