Dr Youssef S Derbala, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in Harper Woods, Michigan. His current practice location is
20480 Vernier Rd, Harper Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 938-0141.
Dr Youssef S Derbala is licensed to practice in Michigan (license number 4301098141) 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 1619239456.
Physician's Profile
Full Name | Dr Youssef S Derbala |
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Gender | Male |
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Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
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Location | 20480 Vernier Rd, Harper Woods, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619239456
- Provider Enumeration Date: 06/07/2012
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931407590
- Enrollment ID: I20170203001673
Medical Identifiers
Medical identifiers for Dr Youssef S Derbala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619239456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 4301098141 (Michigan) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 4301098141 (Michigan) | Secondary |
207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 4301098141 (Michigan) | 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 Youssef S Derbala allows following entities to bill medicare on his behalf.
Entity Name | Mount Sinai Community Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
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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 Youssef S Derbala 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 Youssef S Derbala, MD 20480 Vernier Rd, Harper Woods, MI 48225-1411 Ph: (248) 938-0141 | Dr Youssef S Derbala, MD 20480 Vernier Rd, Harper Woods, MI 48225-1411 Ph: (248) 938-0141 |
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