Dr Todd Michael Derreberry, MD - Medicare Psychiatry & Neurology in Clemmons, NC

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Dr Todd Michael Derreberry, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Clemmons, North Carolina. His current practice location is 2554 Lewisville Clemmons Rd Ste 207, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 223-8220.

Dr Todd Michael Derreberry is licensed to practice in North Carolina (license number 2015-00894) 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 1295962066.

Contact Information

Dr Todd Michael Derreberry, MD
2554 Lewisville Clemmons Rd Ste 207,
Clemmons, NC 27012-9752
(336) 223-8220
(339) 207-0143

Map and Direction




Physician's Profile

Full NameDr Todd Michael Derreberry
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location2554 Lewisville Clemmons Rd Ste 207, Clemmons, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295962066
  • Provider Enumeration Date: 06/18/2009
  • Last Update Date: 06/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365660271
  • Enrollment ID: I20161202001421

Medical Identifiers

Medical identifiers for Dr Todd Michael Derreberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295962066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry 25736 (West Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 2015-00894 (North Carolina)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 25736 (West Virginia)Secondary

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 Todd Michael Derreberry allows following entities to bill medicare on his behalf.
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

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 Todd Michael Derreberry 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 Todd Michael Derreberry, MD
2554 Lewisville Clemmons Rd Ste 207,
Clemmons, NC 27012-9752

Ph: (336) 223-8220		Dr Todd Michael Derreberry, MD
2554 Lewisville Clemmons Rd Ste 207,
Clemmons, NC 27012-9752

Ph: (336) 223-8220

Reviews and Comments


Psychiatry & Neurology Doctors in Clemmons, NC

Dr. William Jeffery Marshall, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2255 Lewisville Clemmons Rd, Clemmons, NC 27012
Phone: 336-766-0505    Fax: 336-766-0553
Mr. Stephen Walter Kirley, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2554 Lewisville-clemmons Rd, Clemmons, NC 27012
Phone: 336-766-7241    Fax: 336-766-9143
Dr. Sophia Yuan, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012
Phone: 336-660-6000    
Clark William Pinyan, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2341 Lewisville Clemmons Rd, Clemmons, NC 27012
Phone: 336-716-4101    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.